"id","measure_id","state_abbreviation","strat_tier1_label","strat_tier1_value","strat_tier1_order","strat_tier2_label","strat_tier2_value","strat_tier2_order","strat_tier3_label","strat_tier3_value","strat_tier3_order","group_tier1_label","group_tier1_value","group_tier1_order","cat_label","cat_order","cat_value","data_period","population","methodology","measure_value","values_direction","value_type","value_type_is_default","value_indicator","number_of_states_reporting","median","mean","max_value","min_value","bottom_quartile","top_quartile","value_label","analysis_source","notes","notes_visualization","default_multi","default_single","legend_order","map_category","value_order","alt_bin1","alt_bin2","alt_bin3","alt_bin4","alt_bin5","alt_bin6","alt_bin_desc12","alt_bin_desc23","alt_bin_desc34","alt_bin_desc45","alt_bin_desc56","decimal_places","value_type_category","group_tier2_label","group_tier2_value","group_tier2_order","stratifications_id"
0,"HC.101","AL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1,"HC.101","AL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
2,"HC.101","AL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","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","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
3,"HC.101","AL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","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","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
4,"HC.101","AK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5,"HC.101","AK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
6,"HC.101","AZ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
7,"HC.101","AZ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
8,"HC.101","AR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
9,"HC.101","AR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
10,"HC.101","CA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
11,"HC.101","CA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
12,"HC.101","CO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
13,"HC.101","CO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
14,"HC.101","CO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
15,"HC.101","CO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
16,"HC.101","CT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
17,"HC.101","CT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
18,"HC.101","DE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","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","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
19,"HC.101","DE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
20,"HC.101","DC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
21,"HC.101","DC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
22,"HC.101","FL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
23,"HC.101","FL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
24,"HC.101","HI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","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","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
25,"HC.101","HI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
26,"HC.101","IL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","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","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
27,"HC.101","IL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","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","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
28,"HC.101","IN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
29,"HC.101","IN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
30,"HC.101","IA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
31,"HC.101","IA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
32,"HC.101","KS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
33,"HC.101","KS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
34,"HC.101","KY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
35,"HC.101","KY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
36,"HC.101","LA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
37,"HC.101","LA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
38,"HC.101","ME","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
39,"HC.101","ME","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
40,"HC.101","MD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
41,"HC.101","MD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
42,"HC.101","MA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
43,"HC.101","MA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
44,"HC.101","MN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
45,"HC.101","MN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
46,"HC.101","MS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
47,"HC.101","MS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
48,"HC.101","MO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
49,"HC.101","MO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
50,"HC.101","NE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
51,"HC.101","NE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
52,"HC.101","NV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
53,"HC.101","NV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
54,"HC.101","NV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","","","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","","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
55,"HC.101","NV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","","","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","","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
56,"HC.101","NH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
57,"HC.101","NH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
58,"HC.101","NJ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
59,"HC.101","NJ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
60,"HC.101","NM","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
61,"HC.101","NM","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
62,"HC.101","NY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
63,"HC.101","NY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
64,"HC.101","NC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
65,"HC.101","NC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
66,"HC.101","NC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
67,"HC.101","NC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
68,"HC.101","ND","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
69,"HC.101","ND","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
70,"HC.101","OH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
71,"HC.101","OH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
72,"HC.101","OK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
73,"HC.101","OK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
74,"HC.101","PA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
75,"HC.101","PA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
76,"HC.101","RI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
77,"HC.101","RI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
78,"HC.101","SC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
79,"HC.101","SC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
80,"HC.101","SD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","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","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
81,"HC.101","SD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
82,"HC.101","TN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
83,"HC.101","TN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
84,"HC.101","TX","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
85,"HC.101","TX","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
86,"HC.101","TX","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","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","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
87,"HC.101","TX","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","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","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
88,"HC.101","VT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
89,"HC.101","VT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
90,"HC.101","VA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
91,"HC.101","VA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
92,"HC.101","WA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
93,"HC.101","WA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
94,"HC.101","WV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
95,"HC.101","WV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
96,"HC.101","WV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","","","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","","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
97,"HC.101","WV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","","","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","","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
98,"HC.101","WI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
99,"HC.101","WI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
100,"HC.101","WY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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","","0.54","0.11","0.195","0.283","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
101,"HC.101","WY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.351","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","","0.621","0.126","0.281","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
102,"HC.101","OR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
103,"HC.101","PR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
104,"HC.101","UT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
105,"HC.101","MT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
106,"HC.101","GA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
107,"HC.101","ID","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
108,"HC.101","MI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
109,"HC.101","OR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
110,"HC.101","PR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
111,"HC.101","UT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
112,"HC.101","MT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
113,"HC.101","GA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
114,"HC.101","ID","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
115,"HC.101","MI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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","","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.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
116,"HC.102","AL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.499","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
117,"HC.102","AL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.656","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
118,"HC.102","AL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.493","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
119,"HC.102","AL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.648","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
120,"HC.102","AK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.451","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
121,"HC.102","AK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.626","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
122,"HC.102","AZ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.695","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
123,"HC.102","AZ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.807","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
124,"HC.102","AR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.445","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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 mental health benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
125,"HC.102","AR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.627","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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 mental health benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
126,"HC.102","CA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.58","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
127,"HC.102","CA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.71","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
128,"HC.102","CO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.574","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
129,"HC.102","CO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.72","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
130,"HC.102","CO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.585","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
131,"HC.102","CO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.72","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
132,"HC.102","CT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.662","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
133,"HC.102","CT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.796","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
134,"HC.102","DE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.318","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
135,"HC.102","DE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.575","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
136,"HC.102","DC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.515","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
137,"HC.102","DC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.642","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
138,"HC.102","FL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.384","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
139,"HC.102","FL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.545","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
140,"HC.102","GA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.375","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
141,"HC.102","GA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.552","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
142,"HC.102","HI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.465","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
143,"HC.102","HI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.6","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
144,"HC.102","IL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.166","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
145,"HC.102","IL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.244","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
146,"HC.102","IN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.466","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
147,"HC.102","IN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.631","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
148,"HC.102","IA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.506","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
149,"HC.102","IA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.74","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
150,"HC.102","KS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.677","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
151,"HC.102","KS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.805","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
152,"HC.102","KY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.514","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
153,"HC.102","KY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.707","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
154,"HC.102","LA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.375","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
155,"HC.102","LA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.564","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
156,"HC.102","ME","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.834","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
157,"HC.102","ME","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.899","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
158,"HC.102","MD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.381","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
159,"HC.102","MD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.598","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
160,"HC.102","MA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.871","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
161,"HC.102","MA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.911","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
162,"HC.102","MN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.697","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
163,"HC.102","MN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.83","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
164,"HC.102","MS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.379","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
165,"HC.102","MS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.557","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
166,"HC.102","MO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.389","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
167,"HC.102","MO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.564","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
168,"HC.102","NE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.466","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
169,"HC.102","NE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.69","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
170,"HC.102","NV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.725","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
171,"HC.102","NV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.775","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
172,"HC.102","NV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
173,"HC.102","NV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
174,"HC.102","NH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.682","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
175,"HC.102","NH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.802","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
176,"HC.102","NJ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.612","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
177,"HC.102","NJ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.702","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
178,"HC.102","NM","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.586","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
179,"HC.102","NM","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.74","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
180,"HC.102","NY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.593","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
181,"HC.102","NY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.74","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
182,"HC.102","NC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.494","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
183,"HC.102","NC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.678","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
184,"HC.102","NC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.546","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
185,"HC.102","NC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.719","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
186,"HC.102","ND","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.539","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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 population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
187,"HC.102","ND","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.742","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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 population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
188,"HC.102","OH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.7","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
189,"HC.102","OH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.828","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
190,"HC.102","OK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.411","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
191,"HC.102","OK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.595","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
192,"HC.102","OR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.606","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
193,"HC.102","OR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.77","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
194,"HC.102","PA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.535","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
195,"HC.102","PA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.711","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
196,"HC.102","PR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.35","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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 source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
197,"HC.102","PR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.705","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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 source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
198,"HC.102","RI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.606","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
199,"HC.102","RI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.75","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
200,"HC.102","SC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.545","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
201,"HC.102","SC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.703","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
202,"HC.102","SD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.552","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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. State reported the following deviations: ""Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
203,"HC.102","SD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.666","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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. State reported the following deviations: ""Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
204,"HC.102","TN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.494","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
205,"HC.102","TN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.68","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
206,"HC.102","TX","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.422","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
207,"HC.102","TX","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.578","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
208,"HC.102","TX","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.432","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
209,"HC.102","TX","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.554","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
210,"HC.102","VT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.851","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
211,"HC.102","VT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.908","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
212,"HC.102","VA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.516","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
213,"HC.102","VA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.685","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
214,"HC.102","WA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.642","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
215,"HC.102","WA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.777","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
216,"HC.102","WV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.422","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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: This measure evaluates only the first two events to meet the allowable adjustment criteria. The age groups were defined by end of measurement period.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
217,"HC.102","WV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.663","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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: This measure evaluates only the first two events to meet the allowable adjustment criteria. The age groups were defined by end of measurement period.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
218,"HC.102","WV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.354","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
219,"HC.102","WV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.604","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
220,"HC.102","WI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.427","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
221,"HC.102","WI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.61","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
222,"HC.102","WY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.43","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
223,"HC.102","WY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.668","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
224,"HC.102","UT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
225,"HC.102","MT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
226,"HC.102","ID","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
227,"HC.102","MI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.515","","0.871","0.166","0.425","0.609","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
228,"HC.102","UT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
229,"HC.102","MT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
230,"HC.102","ID","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
231,"HC.102","MI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17",True,"percent","48","0.696","","0.911","0.244","0.618","0.76","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
232,"HC.104","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.425","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
233,"HC.104","AL","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.547","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS population. The state described the ""other"" data source used to calculate the measure as the following: ""Merative Health Insights database.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
234,"HC.104","AK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.421","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. State noted: ""There might be slight underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
235,"HC.104","AZ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.45","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
236,"HC.104","AR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.492","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" Rate was audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had dental benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
237,"HC.104","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.381","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
238,"HC.104","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.483","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
239,"HC.104","DE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.201","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
240,"HC.104","FL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.345","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (7 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
241,"HC.104","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.421","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
242,"HC.104","HI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.483","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Dental third party administrator (TPA).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
243,"HC.104","ID","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.488","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
244,"HC.104","IN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.404","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
245,"HC.104","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.43","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
246,"HC.104","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.454","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reported Data."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
247,"HC.104","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.456","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
248,"HC.104","ME","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.281","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
249,"HC.104","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.5","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
250,"HC.104","MA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.525","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate also includes ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
251,"HC.104","MS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.317","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
252,"HC.104","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.315","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
253,"HC.104","NE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.459","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (1 MCO). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
254,"HC.104","NV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.396","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes ""other"" delivery system (Prepaid Ambulatory Health Plan [PHAP] acting as Nevada Medicaid's Dental Benefits Administrator). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
255,"HC.104","NV","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.501","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes ""other"" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
256,"HC.104","NJ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.48","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""American Dental Association/Dental Quality Alliance (ADA/DQA) measurement year 2022 administrative collection method submitted by the MCOs."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
257,"HC.104","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.475","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
258,"HC.104","NC","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.562","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS population. Rate was audited or validated. State noted: ""North Carolina Health Choice Children includes ages 6 through 18.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
259,"HC.104","ND","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.308","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
260,"HC.104","OK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.414","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
261,"HC.104","OR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.389","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
262,"HC.104","PA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.469","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
263,"HC.104","PR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.366","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
264,"HC.104","RI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.423","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (1 MCO). State reported that the rate excludes 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).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
265,"HC.104","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.478","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
266,"HC.104","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.393","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
267,"HC.104","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.424","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
268,"HC.104","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.628","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Dental encounter and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
269,"HC.104","TX","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.645","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Dental encounters and enrollment data."" Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
270,"HC.104","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.461","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
271,"HC.104","VA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.464","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (6 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""The data source is claims data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
272,"HC.104","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.522","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes 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 and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
273,"HC.104","WY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.425","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
274,"HC.104","NH","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
275,"HC.104","NM","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
276,"HC.104","NY","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
277,"HC.104","OH","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
278,"HC.104","UT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
279,"HC.104","WI","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
280,"HC.104","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
281,"HC.104","WV","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
282,"HC.104","CO","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
283,"HC.104","DC","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
284,"HC.104","IL","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
285,"HC.104","KY","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
286,"HC.104","MI","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
287,"HC.104","MN","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20",True,"percent","38","0.428","","0.628","0.201","0.393","0.478","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
288,"HC.105","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.189","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
289,"HC.105","AL","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.472","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS population. The state described the ""other"" data source used to calculate the measure as the following: ""Merative Health Insights database.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
290,"HC.105","AK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.187","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. State noted: ""There might be some undercount due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
291,"HC.105","AZ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.2","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
292,"HC.105","AR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.227","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Medicare-Medicaid Dual Eligible). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" Rate was audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had dental benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
293,"HC.105","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.182","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
294,"HC.105","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.236","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
295,"HC.105","DE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.033","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
296,"HC.105","FL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.141","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (7 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
297,"HC.105","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.194","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
298,"HC.105","HI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.23","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Dental third party administrator (TPA).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
299,"HC.105","ID","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.228","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
300,"HC.105","IN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.154","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
301,"HC.105","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.19","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
302,"HC.105","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.237","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reported Data."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
303,"HC.105","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.16","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
304,"HC.105","ME","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.118","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
305,"HC.105","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.252","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
306,"HC.105","MA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.468","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate also includes ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
307,"HC.105","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.101","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
308,"HC.105","NE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.224","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (1 MCO). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
309,"HC.105","NV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.163","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes ""other"" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
310,"HC.105","NV","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.241","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes ""other"" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
311,"HC.105","NJ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.194","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""American Dental Association/Dental Quality Alliance (ADA/DQA) measurement year 2022 administrative collection method submitted by the MCOs."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
312,"HC.105","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.239","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
313,"HC.105","NC","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.279","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""North Carolina Health Choice Children includes ages 6 through 18.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
314,"HC.105","ND","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.128","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
315,"HC.105","OK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.18","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
316,"HC.105","OR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.181","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
317,"HC.105","PA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.193","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
318,"HC.105","PR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.077","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
319,"HC.105","RI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.175","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (1 MCO). State reported that the rate excludes 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) or Pre-paid Ambulatory Health Plans (PAHP).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
320,"HC.105","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.228","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. The FFY 2023/ calendar year (CY) 2022 rates were generated using claims and encounter data and improved with an external Provider file with taxonomy codes. More provider taxonomy information went into the CY 2022 calculations from the external Provider dataset and hence, the CY 2022 rates are better estimates.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
321,"HC.105","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.167","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
322,"HC.105","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.186","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
323,"HC.105","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.333","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Dental encounter and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
324,"HC.105","TX","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.362","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Dental encounter and enrollment data."" Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
325,"HC.105","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.224","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
326,"HC.105","VA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.334","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (6 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""The data source is claims data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
327,"HC.105","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.225","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes 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 and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
328,"HC.105","WY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.172","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
329,"HC.105","NH","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
330,"HC.105","NM","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
331,"HC.105","NY","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
332,"HC.105","OH","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
333,"HC.105","UT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
334,"HC.105","WI","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
335,"HC.105","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
336,"HC.105","WV","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
337,"HC.105","MS","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
338,"HC.105","CO","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
339,"HC.105","DC","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
340,"HC.105","IL","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
341,"HC.105","KY","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
342,"HC.105","MI","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
343,"HC.105","MN","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20)",True,"percent","37","0.19","","0.468","0.033","0.167","0.228","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
344,"HC.107","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.914","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
345,"HC.107","AL","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.553","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS population. The state described the ""other"" data source used to calculate the measure as the following: ""Separate CHIP claims data.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
346,"HC.107","AK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.836","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
347,"HC.107","AZ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.675","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
348,"HC.107","AR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.602","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Medicare-Medicaid Dual Eligible). State reported that the rate excludes the following populations: ""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."" Rate was audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts. The delivery system populations were determined using enrollment data as of the latest diagnosis during the measurement period.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
349,"HC.107","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.602","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
350,"HC.107","CO","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.854","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
351,"HC.107","CO","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.828","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
352,"HC.107","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.755","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
353,"HC.107","DE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.718","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
354,"HC.107","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.942","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
355,"HC.107","FL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.642","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
356,"HC.107","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.612","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
357,"HC.107","IN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.774","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
358,"HC.107","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.276","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
359,"HC.107","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.76","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Other."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
360,"HC.107","KY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.62","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
361,"HC.107","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.607","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
362,"HC.107","ME","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.828","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
363,"HC.107","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.7","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
364,"HC.107","MA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.924","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
365,"HC.107","MI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.663","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). State reported that the rate excludes the following populations: ""Fee for Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims review only."" State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
366,"HC.107","MS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.515","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
367,"HC.107","NE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.75","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claims Data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
368,"HC.107","NV","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.914","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
369,"HC.107","NV","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
370,"HC.107","NH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.848","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS members were excluded."" 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."" Rate was audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
371,"HC.107","NJ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.605","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
372,"HC.107","NM","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.649","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
373,"HC.107","NY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.623","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (15 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Billing Data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
374,"HC.107","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.712","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
375,"HC.107","NC","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.339","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS and managed care populations (5 MCOs). Rate was 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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
376,"HC.107","ND","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.771","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
377,"HC.107","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.711","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
378,"HC.107","OK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.675","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
379,"HC.107","PA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.782","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (7 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
380,"HC.107","PR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.638","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
381,"HC.107","RI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.766","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
382,"HC.107","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.651","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
383,"HC.107","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.755","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
384,"HC.107","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.705","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
385,"HC.107","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.683","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
386,"HC.107","TX","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.511","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes 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."" Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
387,"HC.107","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.809","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
388,"HC.107","VA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.716","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). State reported that the rate excludes the following populations: ""The denominator represents the state total NCQA Quality Compass HEDIS rate and excludes the fee-for-service population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the administrative methodology."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
389,"HC.107","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.876","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
390,"HC.107","WV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.635","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""The State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age range verifies the member is 3 months to 17 years at the episode date; the rate should include all events, but it was implemented to evaluate only the first two events; denominator period is set to a relative time from the 18-month prior to 6-months from the measurement period end date."" State noted: ""The EDS Vendor is NCQA certified for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
391,"HC.107","WV","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.604","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP 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 Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age range is based on the member being aged 3 months to 17 years at the episode date; the rate should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria; denominator period is set to a relative time from the 18-month prior to 6-months from the measurement period end date.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
392,"HC.107","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.851","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
393,"HC.107","WY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.952","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
394,"HC.107","OR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
395,"HC.107","UT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
396,"HC.107","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
397,"HC.107","MO","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
398,"HC.107","HI","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
399,"HC.107","ID","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
400,"HC.107","IL","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
401,"HC.107","MN","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years",True,"percent","44","0.714","","0.952","0.276","0.64","0.819","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
402,"HC.108","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.566","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
403,"HC.108","AL","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.314","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS population. The state described the ""other"" data source used to calculate the measure as the following: ""Separate CHIP claims data.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
404,"HC.108","AK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.169","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
405,"HC.108","AZ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.346","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). Denominator is the sample size; measure-eligible population is 38,562. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
406,"HC.108","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.53","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Response and Surveillance System for Childhood Lead Exposures (RASSCLE II)."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
407,"HC.108","CO","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.396","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
408,"HC.108","CO","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.298","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
409,"HC.108","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.786","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Denominator is the sample size; measure-eligible population is 15,468. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
410,"HC.108","DE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.726","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Denominator is the sample size; measure-eligible population is 5,234. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
411,"HC.108","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.722","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 4,241.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
412,"HC.108","FL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.655","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (12 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Rate was derived using both administrative and hybrid method data. Fee-For-Service, MediKids, and Children's Medical Services Health Plan (CMSHP) used administrative methodology. Florida Healthy Kids is not included because the age group is not applicable for this measure. Nine Medicaid Managed Care plans used the hybrid methodology and three plans reported using the administrative methodology. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
413,"HC.108","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.718","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Denominator is the sample size; measure-eligible population is 74,402. Rate was audited or validated. State noted: "" The rate is the sum of each MCO's rate weighted by the percent the MCO's eligible population contributes to the total eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
414,"HC.108","ID","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.263","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
415,"HC.108","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.632","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
416,"HC.108","IN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.57","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
417,"HC.108","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.68","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
418,"HC.108","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.517","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reported Data."" Sample size is 7,642; measure-eligible population is 15,612. Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
419,"HC.108","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.641","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
420,"HC.108","ME","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.421","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
421,"HC.108","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.676","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
422,"HC.108","MA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.811","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate was derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rate was audited or validated. State noted: Some plans used administrative data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
423,"HC.108","MI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.548","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). State reported that the rate excludes the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Rate was derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rate was audited or validated. The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
424,"HC.108","MS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.626","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Denominator is the sample size; measure-eligible population is 12,395.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
425,"HC.108","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.524","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
426,"HC.108","NE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.703","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claims Data."" Rate was derived using both administrative and hybrid method data. One MCO used administrative data and two MCOs used the hybrid method. Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
427,"HC.108","NV","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.221","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
428,"HC.108","NV","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
429,"HC.108","NH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.679","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS members were excluded."" 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."" Rate was derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rate was audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
430,"HC.108","NJ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.705","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""HEDIS measurement year 2022 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 38,564. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
431,"HC.108","NM","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.367","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rate was derived using both administrative and hybrid method data. The measure-eligible population is 14,472. Rate was audited or validated. State noted: ""The final reported rate for LSC used a weighted methodology due to one MCO reporting Hybrid HEDIS data and two reporting Administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
432,"HC.108","NY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.807","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (15 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Billing Data."" Denominator is the sample size; measure-eligible population is 110,041. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
433,"HC.108","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.539","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
434,"HC.108","NC","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
435,"HC.108","ND","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.251","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
436,"HC.108","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.639","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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 hybrid or administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" The measure-eligible population is 61,033. Rate was audited or validated. State noted: ""For three plans, the denominator represents a systematic sample drawn from the eligible population; numerator includes documentation of lead screening in medical records. For two plans, the results were calculated using claims/administrative data to include results for the entire denominator population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
437,"HC.108","OK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.422","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
438,"HC.108","PA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.816","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
439,"HC.108","PR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.284","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
440,"HC.108","RI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.757","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Denominator is the sample size; measure-eligible population is 5,234. Rate was audited or validated. State noted: ""The denominator is the sum of the samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
441,"HC.108","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.619","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 32,417. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
442,"HC.108","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.333","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
443,"HC.108","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.65","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
444,"HC.108","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.344","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
445,"HC.108","TX","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
446,"HC.108","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.765","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
447,"HC.108","VA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.546","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
448,"HC.108","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.276","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
449,"HC.108","WV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.439","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid 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 Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
450,"HC.108","WV","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.425","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP 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 Medicaid Enterprise Data Solution (EDS).""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
451,"HC.108","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.659","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rate was derived using both administrative and hybrid method data. Five out of 14 HMO plans used the administrative method and 9 out of 14 HMO plans used the hybrid method. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
452,"HC.108","WY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.288","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
453,"HC.108","OR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
454,"HC.108","UT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
455,"HC.108","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
456,"HC.108","AR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
457,"HC.108","HI","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
458,"HC.108","KY","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
459,"HC.108","MN","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had One or More Capillary or Venous Lead Blood Test for Lead Poisoning by their Second Birthday",True,"percent","45","0.57","","0.816","0.169","0.396","0.68","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
460,"HC.11","AL","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.567","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
461,"HC.11","AL","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.113","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
462,"HC.11","AL","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.489","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
463,"HC.11","AL","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.2","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
464,"HC.11","AL","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.589","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
465,"HC.11","AL","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.144","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
466,"HC.11","AL","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.566","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
467,"HC.11","AL","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.144","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
468,"HC.11","AK","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.613","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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: ""Alaska Automated Information Management System (AKAIMS)."" State reported the following deviations: ""The data in AKAIMS was only available for all Adults rather than broken out into age groups 18 to 65 and 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
469,"HC.11","AK","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.161","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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: ""Alaska Automated Information Management System (AKAIMS)."" State reported the following deviations: ""The data in AKAIMS was only available for all Adults rather than broken out into age groups 18 to 65 and 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
470,"HC.11","AK","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.565","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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: ""Alaska Automated Information Management System (AKAIMS)."" State reported the following deviations: ""The data in AKAIMS was only available for all Adults rather than broken out into age groups 18 to 65 and 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
471,"HC.11","AK","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.156","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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: ""Alaska Automated Information Management System (AKAIMS)."" State reported the following deviations: ""The data in AKAIMS was only available for all Adults rather than broken out into age groups 18 to 65 and 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
472,"HC.11","AK","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.502","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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: ""Alaska Automated Information Management System (AKAIMS)."" State reported the following deviations: ""The data in AKAIMS was only available for all Adults rather than broken out into age groups 18 to 65 and 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
473,"HC.11","AK","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.121","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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: ""Alaska Automated Information Management System (AKAIMS)."" State reported the following deviations: ""The data in AKAIMS was only available for all Adults rather than broken out into age groups 18 to 65 and 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
474,"HC.11","AK","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.571","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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: ""Alaska Automated Information Management System (AKAIMS)."" State reported the following deviations: ""The data in AKAIMS was only available for all Adults rather than broken out into age groups 18 to 65 and 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
475,"HC.11","AK","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.148","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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: ""Alaska Automated Information Management System (AKAIMS)."" State reported the following deviations: ""The data in AKAIMS was only available for all Adults rather than broken out into age groups 18 to 65 and 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
476,"HC.11","AZ","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.452","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
477,"HC.11","AZ","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.138","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
478,"HC.11","AZ","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.648","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
479,"HC.11","AZ","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.325","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
480,"HC.11","AZ","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.445","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
481,"HC.11","AZ","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.116","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
482,"HC.11","AZ","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.493","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
483,"HC.11","AZ","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.169","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
484,"HC.11","AR","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.434","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical, pharmacy, and chemical dependency (inpatient and outpatient) benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
485,"HC.11","AR","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.092","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical, pharmacy, and chemical dependency (inpatient and outpatient) benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
486,"HC.11","AR","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.572","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical, pharmacy, and chemical dependency (inpatient and outpatient) benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
487,"HC.11","AR","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.336","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical, pharmacy, and chemical dependency (inpatient and outpatient) benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
488,"HC.11","AR","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.404","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical, pharmacy, and chemical dependency (inpatient and outpatient) benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
489,"HC.11","AR","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.087","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical, pharmacy, and chemical dependency (inpatient and outpatient) benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
490,"HC.11","AR","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.433","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical, pharmacy, and chemical dependency (inpatient and outpatient) benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
491,"HC.11","AR","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.119","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical, pharmacy, and chemical dependency (inpatient and outpatient) benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
492,"HC.11","CA","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.196","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
493,"HC.11","CA","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.06","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
494,"HC.11","CA","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.224","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
495,"HC.11","CA","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.09","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
496,"HC.11","CA","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.194","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
497,"HC.11","CA","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.062","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
498,"HC.11","CA","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.198","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
499,"HC.11","CA","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.064","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
500,"HC.11","CO","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.383","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
501,"HC.11","CO","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.089","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
502,"HC.11","CO","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.466","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
503,"HC.11","CO","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.18","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
504,"HC.11","CO","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.357","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
505,"HC.11","CO","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.077","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
506,"HC.11","CO","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.383","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
507,"HC.11","CO","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.096","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
508,"HC.11","CT","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.415","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
509,"HC.11","CT","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.218","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
510,"HC.11","CT","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.587","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
511,"HC.11","CT","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.402","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
512,"HC.11","CT","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.412","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
513,"HC.11","CT","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.216","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
514,"HC.11","CT","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.443","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
515,"HC.11","CT","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.249","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
516,"HC.11","DE","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.464","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
517,"HC.11","DE","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.197","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
518,"HC.11","DE","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.683","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
519,"HC.11","DE","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.448","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
520,"HC.11","DE","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.54","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
521,"HC.11","DE","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.216","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
522,"HC.11","DE","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.56","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
523,"HC.11","DE","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.285","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
524,"HC.11","DC","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.324","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
525,"HC.11","DC","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.166","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
526,"HC.11","DC","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.56","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
527,"HC.11","DC","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.291","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
528,"HC.11","DC","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.257","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
529,"HC.11","DC","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.105","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
530,"HC.11","DC","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.326","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
531,"HC.11","DC","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.155","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
532,"HC.11","FL","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.438","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
533,"HC.11","FL","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.065","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
534,"HC.11","FL","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.534","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
535,"HC.11","FL","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.167","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
536,"HC.11","FL","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.411","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
537,"HC.11","FL","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.055","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
538,"HC.11","FL","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.439","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
539,"HC.11","FL","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.076","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
540,"HC.11","GA","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.375","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
541,"HC.11","GA","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.068","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
542,"HC.11","GA","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.559","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
543,"HC.11","GA","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.251","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
544,"HC.11","GA","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.389","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
545,"HC.11","GA","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.064","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
546,"HC.11","GA","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.408","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
547,"HC.11","GA","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.09","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
548,"HC.11","HI","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.338","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
549,"HC.11","HI","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.089","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
550,"HC.11","HI","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.425","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
551,"HC.11","HI","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.182","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
552,"HC.11","HI","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.353","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
553,"HC.11","HI","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.09","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
554,"HC.11","HI","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.353","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
555,"HC.11","HI","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.097","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
556,"HC.11","ID","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.405","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
557,"HC.11","ID","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.144","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
558,"HC.11","ID","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.593","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
559,"HC.11","ID","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.352","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
560,"HC.11","ID","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.445","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
561,"HC.11","ID","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.193","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
562,"HC.11","ID","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.452","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
563,"HC.11","ID","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.198","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
564,"HC.11","IL","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","Not reported for [stratification]","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). State reported the following deviations: ""At this time only the ""total"" rates have been updated to FFY 2023 specifications.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
565,"HC.11","IL","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","Not reported for [stratification]","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). State reported the following deviations: ""At this time only the ""total"" rates have been updated to FFY 2023 specifications.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
566,"HC.11","IL","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","Not reported for [stratification]","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). State reported the following deviations: ""At this time only the ""total"" rates have been updated to FFY 2023 specifications.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
567,"HC.11","IL","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","Not reported for [stratification]","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). State reported the following deviations: ""At this time only the ""total"" rates have been updated to FFY 2023 specifications.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
568,"HC.11","IL","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","Not reported for [stratification]","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). State reported the following deviations: ""At this time only the ""total"" rates have been updated to FFY 2023 specifications.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
569,"HC.11","IL","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","Not reported for [stratification]","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). State reported the following deviations: ""At this time only the ""total"" rates have been updated to FFY 2023 specifications.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
570,"HC.11","IL","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.402","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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). State reported the following deviations: ""At this time only the ""total"" rates have been updated to FFY 2023 specifications.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
571,"HC.11","IL","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.133","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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). State reported the following deviations: ""At this time only the ""total"" rates have been updated to FFY 2023 specifications.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
572,"HC.11","IN","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative & Electronic Health Records","0.436","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
573,"HC.11","IN","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative & Electronic Health Records","0.179","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
574,"HC.11","IN","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative & Electronic Health Records","0.701","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
575,"HC.11","IN","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative & Electronic Health Records","0.488","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
576,"HC.11","IN","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative & Electronic Health Records","0.361","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
577,"HC.11","IN","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative & Electronic Health Records","0.155","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
578,"HC.11","IN","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative & Electronic Health Records","0.445","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
579,"HC.11","IN","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative & Electronic Health Records","0.221","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
580,"HC.11","IA","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.387","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
581,"HC.11","IA","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.143","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
582,"HC.11","IA","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.499","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
583,"HC.11","IA","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.328","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
584,"HC.11","IA","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.386","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
585,"HC.11","IA","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.147","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
586,"HC.11","IA","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.392","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
587,"HC.11","IA","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.155","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
588,"HC.11","KS","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.373","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
589,"HC.11","KS","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.099","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
590,"HC.11","KS","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.37","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
591,"HC.11","KS","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.147","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
592,"HC.11","KS","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.09","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
593,"HC.11","KS","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.036","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
594,"HC.11","KS","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.212","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
595,"HC.11","KS","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.07","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
596,"HC.11","KY","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.485","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
597,"HC.11","KY","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.25","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
598,"HC.11","KY","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.691","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
599,"HC.11","KY","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.515","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
600,"HC.11","KY","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.47","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
601,"HC.11","KY","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.28","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
602,"HC.11","KY","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.525","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
603,"HC.11","KY","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.327","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
604,"HC.11","LA","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.545","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
605,"HC.11","LA","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.219","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
606,"HC.11","LA","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.729","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
607,"HC.11","LA","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.434","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
608,"HC.11","LA","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.554","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
609,"HC.11","LA","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.216","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
610,"HC.11","LA","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.581","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
611,"HC.11","LA","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.253","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
612,"HC.11","ME","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.507","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
613,"HC.11","ME","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.126","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
614,"HC.11","ME","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.652","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
615,"HC.11","ME","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.348","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
616,"HC.11","ME","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.402","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
617,"HC.11","ME","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.086","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
618,"HC.11","ME","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.513","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
619,"HC.11","ME","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.17","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
620,"HC.11","MD","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.408","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
621,"HC.11","MD","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.194","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
622,"HC.11","MD","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.64","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
623,"HC.11","MD","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.476","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
624,"HC.11","MD","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.423","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
625,"HC.11","MD","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.181","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
626,"HC.11","MD","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.467","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
627,"HC.11","MD","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.254","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
628,"HC.11","MA","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.458","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
629,"HC.11","MA","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.147","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
630,"HC.11","MA","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.643","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
631,"HC.11","MA","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.368","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
632,"HC.11","MA","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.419","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
633,"HC.11","MA","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.12","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
634,"HC.11","MA","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.483","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
635,"HC.11","MA","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.183","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
636,"HC.11","MN","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.378","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
637,"HC.11","MN","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.132","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
638,"HC.11","MN","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.533","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
639,"HC.11","MN","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.25","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
640,"HC.11","MN","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.38","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
641,"HC.11","MN","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.134","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
642,"HC.11","MN","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.399","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
643,"HC.11","MN","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.148","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
644,"HC.11","MS","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.439","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
645,"HC.11","MS","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.068","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
646,"HC.11","MS","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.454","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
647,"HC.11","MS","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.182","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
648,"HC.11","MS","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.435","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
649,"HC.11","MS","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.081","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
650,"HC.11","MS","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.439","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
651,"HC.11","MS","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.089","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
652,"HC.11","NE","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.38","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
653,"HC.11","NE","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.105","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
654,"HC.11","NE","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.44","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
655,"HC.11","NE","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.235","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
656,"HC.11","NE","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.362","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
657,"HC.11","NE","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.107","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
658,"HC.11","NE","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.376","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
659,"HC.11","NE","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.116","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
660,"HC.11","NV","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.426","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
661,"HC.11","NV","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.126","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
662,"HC.11","NV","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.62","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
663,"HC.11","NV","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.274","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
664,"HC.11","NV","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.427","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
665,"HC.11","NV","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.128","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
666,"HC.11","NV","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.455","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
667,"HC.11","NV","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.149","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
668,"HC.11","NH","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.435","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
669,"HC.11","NH","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.186","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
670,"HC.11","NH","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.693","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
671,"HC.11","NH","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.468","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
672,"HC.11","NH","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.425","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
673,"HC.11","NH","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.184","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
674,"HC.11","NH","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.497","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
675,"HC.11","NH","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.257","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
676,"HC.11","NJ","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.41","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
677,"HC.11","NJ","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.072","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
678,"HC.11","NJ","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.636","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
679,"HC.11","NJ","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.33","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
680,"HC.11","NJ","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.455","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
681,"HC.11","NJ","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.096","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
682,"HC.11","NJ","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.475","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
683,"HC.11","NJ","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.136","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
684,"HC.11","NM","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.446","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
685,"HC.11","NM","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.164","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
686,"HC.11","NM","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.674","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
687,"HC.11","NM","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.363","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
688,"HC.11","NM","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.507","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
689,"HC.11","NM","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.17","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
690,"HC.11","NM","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.51","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
691,"HC.11","NM","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.201","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
692,"HC.11","NY","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.45","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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 (26 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
693,"HC.11","NY","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.158","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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 (26 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
694,"HC.11","NY","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.676","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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 (26 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
695,"HC.11","NY","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.376","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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 (26 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
696,"HC.11","NY","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.486","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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 (26 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
697,"HC.11","NY","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.163","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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 (26 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
698,"HC.11","NY","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.495","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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 (26 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
699,"HC.11","NY","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.188","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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 (26 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
700,"HC.11","NC","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.376","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
701,"HC.11","NC","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.108","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
702,"HC.11","NC","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.475","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
703,"HC.11","NC","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.27","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
704,"HC.11","NC","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.377","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
705,"HC.11","NC","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.101","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
706,"HC.11","NC","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.397","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
707,"HC.11","NC","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.137","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
708,"HC.11","ND","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.425","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
709,"HC.11","ND","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.163","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
710,"HC.11","ND","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.619","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
711,"HC.11","ND","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.413","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
712,"HC.11","ND","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.452","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
713,"HC.11","ND","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.202","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
714,"HC.11","ND","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.468","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
715,"HC.11","ND","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.221","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
716,"HC.11","OH","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.518","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
717,"HC.11","OH","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.237","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
718,"HC.11","OH","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.705","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
719,"HC.11","OH","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.514","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
720,"HC.11","OH","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.553","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
721,"HC.11","OH","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.279","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
722,"HC.11","OH","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.573","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
723,"HC.11","OH","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.313","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
724,"HC.11","OK","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.399","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
725,"HC.11","OK","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.151","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
726,"HC.11","OK","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.356","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
727,"HC.11","OK","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.124","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
728,"HC.11","OK","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.299","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
729,"HC.11","OK","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.094","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
730,"HC.11","OK","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.332","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
731,"HC.11","OK","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.113","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
732,"HC.11","OR","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.393","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
733,"HC.11","OR","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.151","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
734,"HC.11","OR","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.598","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
735,"HC.11","OR","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.3","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
736,"HC.11","OR","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.383","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
737,"HC.11","OR","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.133","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
738,"HC.11","OR","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.423","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
739,"HC.11","OR","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.168","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
740,"HC.11","PA","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.369","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
741,"HC.11","PA","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.213","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
742,"HC.11","PA","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.482","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
743,"HC.11","PA","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.432","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
744,"HC.11","PA","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.41","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
745,"HC.11","PA","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.245","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
746,"HC.11","PA","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.433","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
747,"HC.11","PA","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.321","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
748,"HC.11","PR","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.463","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
749,"HC.11","PR","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.088","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
750,"HC.11","PR","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.697","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
751,"HC.11","PR","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.17","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
752,"HC.11","PR","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.558","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
753,"HC.11","PR","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.103","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
754,"HC.11","PR","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.564","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
755,"HC.11","PR","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.115","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
756,"HC.11","RI","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.405","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
757,"HC.11","RI","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.145","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
758,"HC.11","RI","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.575","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
759,"HC.11","RI","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.302","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
760,"HC.11","RI","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.357","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
761,"HC.11","RI","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.114","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
762,"HC.11","RI","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.405","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
763,"HC.11","RI","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.15","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
764,"HC.11","SC","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.394","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
765,"HC.11","SC","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.062","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
766,"HC.11","SC","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.635","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
767,"HC.11","SC","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.353","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
768,"HC.11","SC","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.397","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
769,"HC.11","SC","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.08","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
770,"HC.11","SC","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.429","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
771,"HC.11","SC","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.112","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
772,"HC.11","SD","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.668","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
773,"HC.11","SD","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.037","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
774,"HC.11","SD","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.59","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
775,"HC.11","SD","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.048","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
776,"HC.11","SD","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.714","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
777,"HC.11","SD","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.04","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
778,"HC.11","SD","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.688","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
779,"HC.11","SD","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.039","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
780,"HC.11","TN","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.451","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
781,"HC.11","TN","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.131","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
782,"HC.11","TN","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.62","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
783,"HC.11","TN","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.391","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
784,"HC.11","TN","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.471","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
785,"HC.11","TN","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.132","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
786,"HC.11","TN","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.508","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
787,"HC.11","TN","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.204","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
788,"HC.11","TX","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.4","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
789,"HC.11","TX","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.081","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
790,"HC.11","TX","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.473","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
791,"HC.11","TX","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.161","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
792,"HC.11","TX","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.436","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
793,"HC.11","TX","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.099","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
794,"HC.11","TX","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.429","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
795,"HC.11","TX","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid","Administrative","0.099","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
796,"HC.11","VT","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.373","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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. State reported the following deviations: ""Modified measure includes residential substance use disorder (SUD) IET events where appropriate per the HEDIS specs for sub-acute inpatient. When the residential SUD treatment event is the index, both index and initiation dates are set as the last day of residential SUD treatment. Modified measure examines the start and end date of service to determine if IET occurs. The 1st month of Hub services count as initiation. If no gap in Hub services, the next month is counted as engagement. State noted: ""Department of Vermont Health Access's (DVHA's) EQRO advised to report Medicaid Primary for administrative measures and IET visits include pharmacy. DVHA does not capture pharmacy claims for duals in a reliable manner and did not include them in the measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
797,"HC.11","VT","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.106","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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. State reported the following deviations: ""Modified measure includes residential substance use disorder (SUD) IET events where appropriate per the HEDIS specs for sub-acute inpatient. When the residential SUD treatment event is the index, both index and initiation dates are set as the last day of residential SUD treatment. Modified measure examines the start and end date of service to determine if IET occurs. The 1st month of Hub services count as initiation. If no gap in Hub services, the next month is counted as engagement. State noted: ""Department of Vermont Health Access's (DVHA's) EQRO advised to report Medicaid Primary for administrative measures and IET visits include pharmacy. DVHA does not capture pharmacy claims for duals in a reliable manner and did not include them in the measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
798,"HC.11","VT","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.731","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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. State reported the following deviations: ""Modified measure includes residential substance use disorder (SUD) IET events where appropriate per the HEDIS specs for sub-acute inpatient. When the residential SUD treatment event is the index, both index and initiation dates are set as the last day of residential SUD treatment. Modified measure examines the start and end date of service to determine if IET occurs. The 1st month of Hub services count as initiation. If no gap in Hub services, the next month is counted as engagement. State noted: ""Department of Vermont Health Access's (DVHA's) EQRO advised to report Medicaid Primary for administrative measures and IET visits include pharmacy. DVHA does not capture pharmacy claims for duals in a reliable manner and did not include them in the measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
799,"HC.11","VT","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.515","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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. State reported the following deviations: ""Modified measure includes residential substance use disorder (SUD) IET events where appropriate per the HEDIS specs for sub-acute inpatient. When the residential SUD treatment event is the index, both index and initiation dates are set as the last day of residential SUD treatment. Modified measure examines the start and end date of service to determine if IET occurs. The 1st month of Hub services count as initiation. If no gap in Hub services, the next month is counted as engagement. State noted: ""Department of Vermont Health Access's (DVHA's) EQRO advised to report Medicaid Primary for administrative measures and IET visits include pharmacy. DVHA does not capture pharmacy claims for duals in a reliable manner and did not include them in the measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
800,"HC.11","VT","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.396","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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. State reported the following deviations: ""Modified measure includes residential substance use disorder (SUD) IET events where appropriate per the HEDIS specs for sub-acute inpatient. When the residential SUD treatment event is the index, both index and initiation dates are set as the last day of residential SUD treatment. Modified measure examines the start and end date of service to determine if IET occurs. The 1st month of Hub services count as initiation. If no gap in Hub services, the next month is counted as engagement. State noted: ""Department of Vermont Health Access's (DVHA's) EQRO advised to report Medicaid Primary for administrative measures and IET visits include pharmacy. DVHA does not capture pharmacy claims for duals in a reliable manner and did not include them in the measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
801,"HC.11","VT","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.098","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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. State reported the following deviations: ""Modified measure includes residential substance use disorder (SUD) IET events where appropriate per the HEDIS specs for sub-acute inpatient. When the residential SUD treatment event is the index, both index and initiation dates are set as the last day of residential SUD treatment. Modified measure examines the start and end date of service to determine if IET occurs. The 1st month of Hub services count as initiation. If no gap in Hub services, the next month is counted as engagement. State noted: ""Department of Vermont Health Access's (DVHA's) EQRO advised to report Medicaid Primary for administrative measures and IET visits include pharmacy. DVHA does not capture pharmacy claims for duals in a reliable manner and did not include them in the measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
802,"HC.11","VT","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.485","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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. State reported the following deviations: ""Modified measure includes residential substance use disorder (SUD) IET events where appropriate per the HEDIS specs for sub-acute inpatient. When the residential SUD treatment event is the index, both index and initiation dates are set as the last day of residential SUD treatment. Modified measure examines the start and end date of service to determine if IET occurs. The 1st month of Hub services count as initiation. If no gap in Hub services, the next month is counted as engagement. State noted: ""Department of Vermont Health Access's (DVHA's) EQRO advised to report Medicaid Primary for administrative measures and IET visits include pharmacy. DVHA does not capture pharmacy claims for duals in a reliable manner and did not include them in the measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
803,"HC.11","VT","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.224","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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. State reported the following deviations: ""Modified measure includes residential substance use disorder (SUD) IET events where appropriate per the HEDIS specs for sub-acute inpatient. When the residential SUD treatment event is the index, both index and initiation dates are set as the last day of residential SUD treatment. Modified measure examines the start and end date of service to determine if IET occurs. The 1st month of Hub services count as initiation. If no gap in Hub services, the next month is counted as engagement. State noted: ""Department of Vermont Health Access's (DVHA's) EQRO advised to report Medicaid Primary for administrative measures and IET visits include pharmacy. DVHA does not capture pharmacy claims for duals in a reliable manner and did not include them in the measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
804,"HC.11","VA","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.396","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
805,"HC.11","VA","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.123","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
806,"HC.11","VA","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.718","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
807,"HC.11","VA","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.44","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
808,"HC.11","VA","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.43","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
809,"HC.11","VA","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.178","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
810,"HC.11","VA","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.482","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
811,"HC.11","VA","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.217","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
812,"HC.11","WA","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.365","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
813,"HC.11","WA","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.112","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
814,"HC.11","WA","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.634","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
815,"HC.11","WA","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.326","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
816,"HC.11","WA","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.314","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
817,"HC.11","WA","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.061","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
818,"HC.11","WA","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.409","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
819,"HC.11","WA","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.143","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
820,"HC.11","WV","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.399","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age was defined based on the end of measurement year; the numerator period is set to a relative time from the beginning of the measurement year to 47 days prior to the end of the measurement.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
821,"HC.11","WV","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.152","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age was defined based on the end of measurement year; the numerator period is set to a relative time from the beginning of the measurement year to 47 days prior to the end of the measurement.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
822,"HC.11","WV","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.722","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age was defined based on the end of measurement year; the numerator period is set to a relative time from the beginning of the measurement year to 47 days prior to the end of the measurement.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
823,"HC.11","WV","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.522","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age was defined based on the end of measurement year; the numerator period is set to a relative time from the beginning of the measurement year to 47 days prior to the end of the measurement.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
824,"HC.11","WV","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.467","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age was defined based on the end of measurement year; the numerator period is set to a relative time from the beginning of the measurement year to 47 days prior to the end of the measurement.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
825,"HC.11","WV","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.233","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age was defined based on the end of measurement year; the numerator period is set to a relative time from the beginning of the measurement year to 47 days prior to the end of the measurement.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
826,"HC.11","WV","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.538","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age was defined based on the end of measurement year; the numerator period is set to a relative time from the beginning of the measurement year to 47 days prior to the end of the measurement.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
827,"HC.11","WV","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.312","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age was defined based on the end of measurement year; the numerator period is set to a relative time from the beginning of the measurement year to 47 days prior to the end of the measurement.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
828,"HC.11","WI","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.415","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
829,"HC.11","WI","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.126","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
830,"HC.11","WI","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.647","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
831,"HC.11","WI","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.423","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
832,"HC.11","WI","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.411","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
833,"HC.11","WI","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.123","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
834,"HC.11","WI","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.445","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
835,"HC.11","WI","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.164","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
836,"HC.11","UT","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
837,"HC.11","MT","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
838,"HC.11","MO","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
839,"HC.11","MI","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
840,"HC.11","WY","Rate","Initiation","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Alcohol Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.413","","0.668","0.196","0.383","0.451","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",454
841,"HC.11","UT","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
842,"HC.11","MT","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
843,"HC.11","MO","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
844,"HC.11","MI","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
845,"HC.11","WY","Rate","Engagement","1","Diagnosis","Alcohol Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Alcohol Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.132","","0.25","0.037","0.092","0.163","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",455
846,"HC.11","UT","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
847,"HC.11","MT","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
848,"HC.11","MO","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
849,"HC.11","MI","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
850,"HC.11","WY","Rate","Initiation","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Opioid Use Disorder with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.609","","0.731","0.224","0.499","0.674","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",456
851,"HC.11","UT","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
852,"HC.11","MT","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
853,"HC.11","MO","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
854,"HC.11","MI","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
855,"HC.11","WY","Rate","Engagement","1","Diagnosis","Opioid Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Opioid Use Disorder with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.329","","0.522","0.048","0.2","0.423","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",457
856,"HC.11","UT","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
857,"HC.11","MT","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
858,"HC.11","MO","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
859,"HC.11","MI","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
860,"HC.11","WY","Rate","Initiation","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Other SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","46","0.416","","0.714","0.09","0.38","0.467","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",458
861,"HC.11","UT","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
862,"HC.11","MT","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
863,"HC.11","MO","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
864,"HC.11","MI","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
865,"HC.11","WY","Rate","Engagement","1","Diagnosis","Other Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Other SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","46","0.121","","0.28","0.036","0.09","0.178","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",459
866,"HC.11","UT","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
867,"HC.11","MT","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
868,"HC.11","MO","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
869,"HC.11","MI","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
870,"HC.11","WY","Rate","Initiation","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Total SUD with Initiation of SUD Treatment within 14 Days: Ages 18 to 64",True,"percent","47","0.445","","0.688","0.198","0.405","0.508","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",460
871,"HC.11","UT","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
872,"HC.11","MT","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
873,"HC.11","MO","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
874,"HC.11","MI","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
875,"HC.11","WY","Rate","Engagement","1","Diagnosis","Total Substance Use Disorder: Ages 18 to 64","1","","","","","","","","","","2023","","","","higher","Percentage of New Episodes of Total SUD with Engagement of SUD Treatment within 34 Days of Initiation: Ages 18 to 64",True,"percent","47","0.155","","0.327","0.039","0.115","0.221","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",461
876,"HC.15","AL","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.059","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
877,"HC.15","AL","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.02","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
878,"HC.15","AZ","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.563","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 (14 MCOs). Sample size is 5,754; measure-eligible population is 114,571. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
879,"HC.15","AZ","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.374","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 (14 MCOs). Sample size is 5,754; measure-eligible population is 114,571. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
880,"HC.15","CA","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (25 MCOs). State reported that rate excludes the following populations: ""Members who are enrolled in only Fee-For-Service and members who are not in a managed care plan for 11 out of 12 months are excluded, as HBD data are not available in the Management Information System/Decision Support System (MIS/DSS) data warehouse. About 20% of the population was not included."" The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Sample size is 34,491; measure-eligible population is 539,323. Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
881,"HC.15","CA","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.366","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (25 MCOs). State reported that rate excludes the following populations: ""Members who are enrolled in only Fee-For-Service and members who are not in a managed care plan for 11 out of 12 months are excluded, as HBD data are not available in the Management Information System/Decision Support System (MIS/DSS) data warehouse. About 20% of the population was not included."" The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Sample size is 34,491; measure-eligible population is 539,323. Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
882,"HC.15","CO","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.39","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 (2 MCOs). Sample size is 411; measure-eligible population is 62,156. Rates were audited or validated. State noted: ""Rates were calculated by adding Managed Care administrative rate and FFS hybrid rate.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
883,"HC.15","CO","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.53","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 (2 MCOs). Sample size is 411; measure-eligible population is 62,156. Rates were audited or validated. State noted: ""Rates were calculated by adding Managed Care administrative rate and FFS hybrid rate.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
884,"HC.15","CT","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.549","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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. Sample size is 1,218; measure-eligible population is 45,873. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
885,"HC.15","CT","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.352","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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. Sample size is 1,218; measure-eligible population is 45,873. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
886,"HC.15","DE","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.538","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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). State reported that rates exclude the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Denominator is the sample size; measure-eligible population is 9,518. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
887,"HC.15","DE","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.367","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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). State reported that rates exclude the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Denominator is the sample size; measure-eligible population is 9,518. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
888,"HC.15","DC","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.463","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 11,686. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
889,"HC.15","DC","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.442","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 11,686. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
890,"HC.15","FL","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Administrative & Hybrid","0.492","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were derived using both administrative and hybrid method data. Thirteen plans reported using the hybrid methodology. One plan reported using the administrative methodology. Denominator is the measure-eligible population. Rates were audited or validated. State noted: ""The ages 18 to 64 rate includes individuals aged 18 to 75.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
891,"HC.15","FL","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Administrative & Hybrid","0.437","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were derived using both administrative and hybrid method data. Thirteen plans reported using the hybrid methodology. One plan reported using the administrative methodology. Denominator is the measure-eligible population. Rates were audited or validated. State noted: ""The ages 18 to 64 rate includes individuals aged 18 to 75.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
892,"HC.15","IL","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.038","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
893,"HC.15","IL","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.024","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
894,"HC.15","IN","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.462","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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). Sample size and measure-eligible population are not available. State reported the following deviations: ""Combined rates for ages 18 to 75.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
895,"HC.15","IN","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.459","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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). Sample size and measure-eligible population are not available. State reported the following deviations: ""Combined rates for ages 18 to 75.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
896,"HC.15","KS","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.519","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 Reporting."" Rates are provisional. State reported the following deviations: ""Kansas did not stratify by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
897,"HC.15","KS","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.393","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 Reporting."" Rates are provisional. State reported the following deviations: ""Kansas did not stratify by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
898,"HC.15","KY","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.532","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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). Denominator is the sample size; measure-eligible population is 66,022. Rates were audited or validated. State reported the following deviations: ""The rates include ages 18 to 75.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
899,"HC.15","KY","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.381","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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). Denominator is the sample size; measure-eligible population is 66,022. Rates were audited or validated. State reported the following deviations: ""The rates include ages 18 to 75.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
900,"HC.15","LA","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.524","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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). Denominator is the sample size; measure-eligible population is 80,261. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
901,"HC.15","LA","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.389","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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). Denominator is the sample size; measure-eligible population is 80,261. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
902,"HC.15","MD","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.573","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 (9 MCOs). State reported that rates exclude the following populations: ""The Medicare and Medicaid Dually-Eligible Population are carved out of managed care."" Denominator is the sample size; measure-eligible population is 62,244. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
903,"HC.15","MD","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.339","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 (9 MCOs). State reported that rates exclude the following populations: ""The Medicare and Medicaid Dually-Eligible Population are carved out of managed care."" Denominator is the sample size; measure-eligible population is 62,244. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
904,"HC.15","MA","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative & Hybrid","0.559","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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, ICM, and managed care populations (15 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated. State noted: ""Reported denominators represent measure-eligible population. One plan used administrative methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
905,"HC.15","MA","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative & Hybrid","0.334","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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, ICM, and managed care populations (15 MCOs). Rates were derived using both administrative and hybrid method data. Rates were audited or validated. State noted: ""Reported denominators represent measure-eligible population. One plan used administrative methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
906,"HC.15","MI","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.541","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 (9 MCOs). Denominator is the sample size; measure-eligible population is 112,262.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
907,"HC.15","MI","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.379","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 (9 MCOs). Denominator is the sample size; measure-eligible population is 112,262.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
908,"HC.15","MS","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
909,"HC.15","MS","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.7","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
910,"HC.15","NE","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.529","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 Claim System."" Sample size is 1,233; measure-eligible population is 14,047.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
911,"HC.15","NE","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.363","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 Claim System."" Sample size is 1,233; measure-eligible population is 14,047.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
912,"HC.15","NV","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.458","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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). Denominator is the sample size; measure-eligible population is 21,724.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
913,"HC.15","NV","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.464","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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). Denominator is the sample size; measure-eligible population is 21,724.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
914,"HC.15","NH","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.493","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 excluded."" 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."" Sample size is 1,233; measure-eligible population is 6,220. State noted: ""Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
915,"HC.15","NH","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.407","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 excluded."" 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."" Sample size is 1,233; measure-eligible population is 6,220. State noted: ""Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
916,"HC.15","NJ","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.593","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 93,250. Rates were audited or validated. State noted: ""The State of New Jersey reported a combined rate for all member-eligible enrollees in the ages ""18 to 64"" performance measure section. NJ does not stratify this measure by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
917,"HC.15","NJ","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.335","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 93,250. Rates were audited or validated. State noted: ""The State of New Jersey reported a combined rate for all member-eligible enrollees in the ages ""18 to 64"" performance measure section. NJ does not stratify this measure by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
918,"HC.15","NM","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.405","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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."" Denominator is the sample size; measure-eligible population is 42,542. Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' hybrid HEDIS data. Measurement year 2022 HEDIS does not stratify this measure by the requested age group of 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
919,"HC.15","NM","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.52","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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."" Denominator is the sample size; measure-eligible population is 42,542. Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' hybrid HEDIS data. Measurement year 2022 HEDIS does not stratify this measure by the requested age group of 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
920,"HC.15","NY","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.551","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 (26 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Managed care health plan billing data."" Sample size is 10,550; measure-eligible population is 310,788. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
921,"HC.15","NY","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.358","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 (26 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Managed care health plan billing data."" Sample size is 10,550; measure-eligible population is 310,788. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
922,"HC.15","ND","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.394","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 (1 MCO). State reported that rates exclude the following populations: ""Rate excludes FFS, PCCM, Medicare-Medicaid Dual Eligibles."" Denominator is the sample size; measure-eligible population is 1,707. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
923,"HC.15","ND","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.528","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 (1 MCO). State reported that rates exclude the following populations: ""Rate excludes FFS, PCCM, Medicare-Medicaid Dual Eligibles."" Denominator is the sample size; measure-eligible population is 1,707. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
924,"HC.15","OH","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.504","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" Denominator is the sample size; measure-eligible population is 129,426. Rates were audited or validated. State reported the following deviations: ""The numerator, denominator and rate for this measure is reported for the Statewide Ohio Medicaid Managed Care Program. The numerator is the sum of the 5 Ohio Medicaid managed care plans' HEDIS measurement year2022 reported numerators (for Ages 18 to 75).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
925,"HC.15","OH","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.405","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" Denominator is the sample size; measure-eligible population is 129,426. Rates were audited or validated. State reported the following deviations: ""The numerator, denominator and rate for this measure is reported for the Statewide Ohio Medicaid Managed Care Program. The numerator is the sum of the 5 Ohio Medicaid managed care plans' HEDIS measurement year2022 reported numerators (for Ages 18 to 75).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
926,"HC.15","OR","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Electronic Health Records","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (16 MCOs). State noted: ""Oregon obtains EHR-based aggregated results from health plans based on 'all ages' 18 to 75, and is unable to stratify by age groups. Results reported in the 'ages 18 to 64' category represent all ages 18 to 75. Oregon Health Authority does not collect good control (<8%) rates.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
927,"HC.15","OR","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Electronic Health Records","0.259","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (16 MCOs). State noted: ""Oregon obtains EHR-based aggregated results from health plans based on 'all ages' 18 to 75, and is unable to stratify by age groups. Results reported in the 'ages 18 to 64' category represent all ages 18 to 75. Oregon Health Authority does not collect good control (<8%) rates.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
928,"HC.15","PA","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.581","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 (7 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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated. State noted: ""The numerator, denominator, and rate entered for ages 18 to 64 also includes ages 65 to 74. The measure was collected and calculated as a single rate per HEDIS specifications. Data are not available for individual age brackets.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
929,"HC.15","PA","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.323","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 (7 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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated. State noted: ""The numerator, denominator, and rate entered for ages 18 to 64 also includes ages 65 to 74. The measure was collected and calculated as a single rate per HEDIS specifications. Data are not available for individual age brackets.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
930,"HC.15","RI","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.575","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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)."" Denominator is the sample size; measure-eligible population is 16,074. Rates were audited or validated. State noted: ""The denominators are sums of the samples reported by each of 3 health plans (Managed Care Organizations). The Ages 18 to 64 rates include all individuals age 18 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
931,"HC.15","RI","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.312","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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)."" Denominator is the sample size; measure-eligible population is 16,074. Rates were audited or validated. State noted: ""The denominators are sums of the samples reported by each of 3 health plans (Managed Care Organizations). The Ages 18 to 64 rates include all individuals age 18 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
932,"HC.15","SC","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.483","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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). Denominator is the sample size; measure-eligible population is 26,227. State noted: ""The Ages 18 to 64 rate includes data for individuals ages 18 to 85. The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
933,"HC.15","SC","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.441","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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). Denominator is the sample size; measure-eligible population is 26,227. State noted: ""The Ages 18 to 64 rate includes data for individuals ages 18 to 85. The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
934,"HC.15","TN","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.563","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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). Denominator is the measure-eligible population. Rates were audited or validated. State reported the following deviations: ""This measure was calculated based on NCQA measure specifications. NCQA specifications do not stratify by age range, therefore the rates reported here are for all members age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
935,"HC.15","TN","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.326","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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). Denominator is the measure-eligible population. Rates were audited or validated. State reported the following deviations: ""This measure was calculated based on NCQA measure specifications. NCQA specifications do not stratify by age range, therefore the rates reported here are for all members age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
936,"HC.15","TX","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.442","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 (16 MCOs). State reported that rates exclude the following populations: ""State of Texas Access Reform (STAR) Health, STAR Kids, and FFS, which make up only a small portion of the overall eligible population."" 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."" Denominator is the sample size; measure-eligible population is 89,225.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
937,"HC.15","TX","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.484","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 (16 MCOs). State reported that rates exclude the following populations: ""State of Texas Access Reform (STAR) Health, STAR Kids, and FFS, which make up only a small portion of the overall eligible population."" 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."" Denominator is the sample size; measure-eligible population is 89,225.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
938,"HC.15","UT","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated. State noted: ""HbA1c control (<8.0%) not collected.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
939,"HC.15","UT","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.363","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated. State noted: ""HbA1c control (<8.0%) not collected.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
940,"HC.15","VT","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.46","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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). Denominator is the sample size; measure-eligible population is 9,332. State noted: ""The age group of 65 to 75 was not separately sampled for hybrid measure so rate for ages 18 to 64 is the rate for 18+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
941,"HC.15","VT","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.474","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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). Denominator is the sample size; measure-eligible population is 9,332. State noted: ""The age group of 65 to 75 was not separately sampled for hybrid measure so rate for ages 18 to 64 is the rate for 18+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
942,"HC.15","WA","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.516","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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). Denominator is the sample size; measure-eligible population is 60,566. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
943,"HC.15","WA","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.372","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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). Denominator is the sample size; measure-eligible population is 60,566. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
944,"HC.15","WV","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.541","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 Claims Based Systems."" Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
945,"HC.15","WV","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.367","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 Claims Based Systems."" Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
946,"HC.15","WI","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.544","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Fourteen HMOs reported using the hybrid method."" Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
947,"HC.15","WI","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.365","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Fourteen HMOs reported using the hybrid method."" Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
948,"HC.15","AK","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
949,"HC.15","NC","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
950,"HC.15","OK","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
951,"HC.15","PR","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
952,"HC.15","SD","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
953,"HC.15","VA","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
954,"HC.15","MT","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
955,"HC.15","MO","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
956,"HC.15","AR","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
957,"HC.15","GA","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
958,"HC.15","HI","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
959,"HC.15","IA","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
960,"HC.15","ID","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
961,"HC.15","ME","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
962,"HC.15","MN","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
963,"HC.15","WY","Rate","HbA1c Control (<8.0%)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Control (<8.0%): Ages 18 to 64",True,"percent","32","0.522","","0.593","0.038","0.461","0.55","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",761
964,"HC.15","AK","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
965,"HC.15","NC","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
966,"HC.15","OK","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
967,"HC.15","PR","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
968,"HC.15","SD","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
969,"HC.15","VA","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
970,"HC.15","MT","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
971,"HC.15","MO","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
972,"HC.15","AR","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
973,"HC.15","GA","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
974,"HC.15","HI","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
975,"HC.15","IA","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
976,"HC.15","ID","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
977,"HC.15","ME","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
978,"HC.15","MN","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
979,"HC.15","WY","Rate","HbA1c Poor Control (>9.0%)","1","","","","","","","","","","","","","2023","","","","lower","Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64",True,"percent","36","0.373","","0.7","0.02","0.346","0.442","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",762
980,"HC.18","AL","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.251","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
981,"HC.18","AZ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, Dual Eligibles, & Other","CAHPS 5.1H","0.446","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes FFS and managed care populations (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
982,"HC.18","AR","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.376","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
983,"HC.18","CA","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.459","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
984,"HC.18","CO","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.409","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
985,"HC.18","CT","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.421","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
986,"HC.18","DE","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.398","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
987,"HC.18","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.472","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
988,"HC.18","GA","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.265","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
989,"HC.18","HI","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.324","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
990,"HC.18","IL","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.467","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
991,"HC.18","IN","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.34","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
992,"HC.18","KS","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.473","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
993,"HC.18","KY","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.335","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
994,"HC.18","LA","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.355","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
995,"HC.18","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.424","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes FFS and managed care populations (9 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
996,"HC.18","MA","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.482","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
997,"HC.18","MI","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.388","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
998,"HC.18","MN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.435","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes FFS and managed care populations (9 MCOs). State noted: ""Optional exclusion (e.g., Deceased members exclusion) was not applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
999,"HC.18","MS","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.354","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1000,"HC.18","MO","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.462","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1001,"HC.18","MT","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.363","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1002,"HC.18","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.463","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1003,"HC.18","NV","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.306","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1004,"HC.18","NH","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.418","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1005,"HC.18","NJ","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.358","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1006,"HC.18","NM","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.408","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes managed care population (3 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1007,"HC.18","ND","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.43","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1008,"HC.18","OH","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.364","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1009,"HC.18","OK","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.352","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1010,"HC.18","OR","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.342","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1011,"HC.18","PA","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.435","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1012,"HC.18","RI","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.508","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1013,"HC.18","SC","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.382","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1014,"HC.18","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.527","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1015,"HC.18","TN","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.329","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1016,"HC.18","TX","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.41","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1017,"HC.18","VT","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.38","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1018,"HC.18","VA","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.403","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (11 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1019,"HC.18","WA","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.385","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1020,"HC.18","WV","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.334","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated by the state and reported in the QMR system. Rate includes managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1021,"HC.18","WI","","","","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.386","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rate was calculated using data from the AHRQ CAHPS Database. Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1022,"HC.18","AK","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1023,"HC.18","NC","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1024,"HC.18","NY","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1025,"HC.18","PR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1026,"HC.18","UT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1027,"HC.18","FL","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1028,"HC.18","IA","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1029,"HC.18","ID","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1030,"HC.18","ME","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1031,"HC.18","WY","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Flu Vaccination: Ages 18 to 64",True,"percent","42","0.393","","0.527","0.251","0.354","0.435","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1032,"HC.19","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.013","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1033,"HC.19","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.085","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1034,"HC.19","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.005","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1035,"HC.19","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.026","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1036,"HC.19","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.041","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1037,"HC.19","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.09","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1038,"HC.19","DE","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.073","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1039,"HC.19","DC","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.058","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1040,"HC.19","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.114","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (13 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1041,"HC.19","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.031","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1042,"HC.19","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.112","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1043,"HC.19","ID","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.033","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1044,"HC.19","IN","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","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: Rate includes FFS and managed care populations (4 MCOs). State reported the following deviations: ""Combined rate for age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1045,"HC.19","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.096","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1046,"HC.19","KS","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.055","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1047,"HC.19","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.012","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1048,"HC.19","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.089","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations. State reported the following deviations: ""Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1049,"HC.19","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.076","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State reported that the rate excludes the following populations: ""The Medicare and Medicaid Dually-Eligible Population are carved out of managed care.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1050,"HC.19","MA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.077","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (13 MCOs). Rate also includes ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1051,"HC.19","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.016","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1052,"HC.19","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.067","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1053,"HC.19","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.01","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1054,"HC.19","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.022","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1055,"HC.19","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.03","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1056,"HC.19","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.077","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1057,"HC.19","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.109","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Pharmacy Quality Alliance (PQA) measurement year 2022 administrative collection method submitted by the MCOs."" Rate was audited or validated. State noted: ""The State of New Jersey reported a combined rate for all member-eligible enrollees in the ages ""18 to 64"" performance measure section. NJ does not stratify this measure by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1058,"HC.19","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.075","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1059,"HC.19","ND","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","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: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1060,"HC.19","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.026","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1061,"HC.19","PR","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","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: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1062,"HC.19","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.033","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1063,"HC.19","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.045","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1064,"HC.19","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.059","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1065,"HC.19","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.108","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1066,"HC.19","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.064","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1067,"HC.19","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.207","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1068,"HC.19","AK","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1069,"HC.19","NM","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1070,"HC.19","NV","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1071,"HC.19","NY","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1072,"HC.19","OH","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1073,"HC.19","OR","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1074,"HC.19","PA","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1075,"HC.19","RI","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1076,"HC.19","TX","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1077,"HC.19","UT","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1078,"HC.19","VA","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1079,"HC.19","WI","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1080,"HC.19","MT","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1081,"HC.19","WV","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1082,"HC.19","IL","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1083,"HC.19","KY","","","","","","","","","","","","","","","","2023","","","","lower","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",True,"percent","33","0.059","","0.207","0.005","0.03","0.085","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1084,"HC.26","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.747","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1085,"HC.26","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.776","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1086,"HC.26","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.811","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1087,"HC.26","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.786","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1088,"HC.26","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.773","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1089,"HC.26","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.756","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1090,"HC.26","DE","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.716","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1091,"HC.26","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.769","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1092,"HC.26","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.781","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1093,"HC.26","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.783","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1094,"HC.26","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.715","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1095,"HC.26","ID","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.77","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1096,"HC.26","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.821","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1097,"HC.26","IN","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.788","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1098,"HC.26","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.756","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1099,"HC.26","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.764","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1100,"HC.26","KY","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.83","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1101,"HC.26","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.828","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1102,"HC.26","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.723","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations. State reported the following deviations: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1103,"HC.26","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.658","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State reported that the rate excludes the following populations: ""The Medicare and Medicaid Dually-Eligible Population are carved out of managed care.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1104,"HC.26","MA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.766","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1105,"HC.26","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.768","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1106,"HC.26","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.749","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1107,"HC.26","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.695","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1108,"HC.26","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.686","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1109,"HC.26","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.807","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1110,"HC.26","NV","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.737","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1111,"HC.26","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.763","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" Rate was audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1112,"HC.26","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.831","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1113,"HC.26","NM","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.795","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregated total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1114,"HC.26","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.756","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (53 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1115,"HC.26","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.779","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Information Exchange."" Rate was audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1116,"HC.26","ND","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.779","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1117,"HC.26","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.774","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1118,"HC.26","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.714","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1119,"HC.26","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.86","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1120,"HC.26","PR","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.636","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1121,"HC.26","RI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.758","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1122,"HC.26","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.778","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1123,"HC.26","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.852","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1124,"HC.26","TN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.822","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1125,"HC.26","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.798","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1126,"HC.26","UT","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.821","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics Medical Records: Both EHR and Paper."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1127,"HC.26","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.752","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1128,"HC.26","VA","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.805","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1129,"HC.26","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.746","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1130,"HC.26","WV","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.73","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: 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 Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Age was defined based on the start of the measurement year.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1131,"HC.26","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.771","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1132,"HC.26","AK","","","","","","","","","","","","","","","","2023","","","","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1133,"HC.26","OR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1134,"HC.26","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1135,"HC.26","WY","","","","","","","","","","","","","","","","2023","","","","higher","Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64",True,"percent","48","0.771","","0.86","0.636","0.748","0.797","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1136,"HC.29","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.734","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1137,"HC.29","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.551","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1138,"HC.29","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.55","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""State implemented the optional exclusion. Calculation used eligibility data and state did not verify if beneficiaries had medical and pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1139,"HC.29","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.641","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1140,"HC.29","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.628","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1141,"HC.29","CT","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.651","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1142,"HC.29","DE","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.599","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1143,"HC.29","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.451","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1144,"HC.29","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.586","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1145,"HC.29","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.359","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1146,"HC.29","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.672","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1147,"HC.29","ID","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.685","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1148,"HC.29","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.599","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1149,"HC.29","IN","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.529","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1150,"HC.29","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.733","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1151,"HC.29","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.626","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1152,"HC.29","KY","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.597","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1153,"HC.29","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.54","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1154,"HC.29","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.571","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations. State noted: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1155,"HC.29","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.641","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1156,"HC.29","MA","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.717","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM, ICM, and managed care populations (15 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1157,"HC.29","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.576","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1158,"HC.29","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.799","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid and denied claims. All optional exclusions, including deceased members exclusion, were applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1159,"HC.29","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.569","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1160,"HC.29","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.57","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1161,"HC.29","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.664","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1162,"HC.29","NV","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.426","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1163,"HC.29","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.724","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" Rate was audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1164,"HC.29","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.677","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1165,"HC.29","NM","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.538","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregated total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1166,"HC.29","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.652","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (52 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1167,"HC.29","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.635","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1168,"HC.29","ND","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.609","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1169,"HC.29","OH","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.403","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1170,"HC.29","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.585","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1171,"HC.29","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.718","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated. State reported the following deviations: ""Physical health (PH) MCOs collect and report this measure through HEDIS. However, due to the separation of PH and behavioral health (BH) services for Medicaid, a methodology was developed to capture BH claims by enhancing the PH data with BH data from the PROMISe encounter data system, in order to have a more accurate reporting of individuals with schizophrenia and their adherence. The rates from the Medicaid PH MCOs and the rates including the BH data are included. EQRO included all available PROMISe encounter data as of the report run date in Q4 2023. All applicable updates from the HEDIS specifications were included.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1172,"HC.29","PR","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.626","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1173,"HC.29","RI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.735","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1174,"HC.29","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.637","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1175,"HC.29","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.665","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1176,"HC.29","TN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.619","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1177,"HC.29","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.559","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1178,"HC.29","UT","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.663","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics Medical Records: Both EHR and Paper."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1179,"HC.29","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.781","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1180,"HC.29","VA","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.602","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1181,"HC.29","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.626","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1182,"HC.29","WV","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.592","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: 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 Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1183,"HC.29","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.583","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1184,"HC.29","AK","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1185,"HC.29","OR","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1186,"HC.29","MT","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1187,"HC.29","WY","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.623","","0.799","0.359","0.571","0.665","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1188,"HC.3","AL","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.739","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and PCCM populations. State noted: ""Survey end date was 2023-06-15.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1189,"HC.3","AL","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.452","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and PCCM populations. State noted: ""Survey end date was 2023-06-15.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1190,"HC.3","AL","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.427","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and PCCM populations. State noted: ""Survey end date was 2023-06-15.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1191,"HC.3","AZ","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1192,"HC.3","AZ","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1193,"HC.3","AZ","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1194,"HC.3","AR","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.692","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1195,"HC.3","AR","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.466","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1196,"HC.3","AR","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.364","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1197,"HC.3","CA","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.643","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1198,"HC.3","CA","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.39","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1199,"HC.3","CA","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.335","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1200,"HC.3","CO","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.649","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1201,"HC.3","CO","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.429","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1202,"HC.3","CO","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.442","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1203,"HC.3","CT","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.82","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1204,"HC.3","CT","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.535","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1205,"HC.3","CT","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.425","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1206,"HC.3","DE","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.785","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1207,"HC.3","DE","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.564","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1208,"HC.3","DE","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.481","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1209,"HC.3","DC","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.825","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1210,"HC.3","DC","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.647","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1211,"HC.3","DC","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.598","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1212,"HC.3","GA","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1213,"HC.3","GA","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1214,"HC.3","GA","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1215,"HC.3","HI","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1216,"HC.3","HI","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1217,"HC.3","HI","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1218,"HC.3","IL","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1219,"HC.3","IL","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1220,"HC.3","IL","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1221,"HC.3","IN","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.721","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1222,"HC.3","IN","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.532","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1223,"HC.3","IN","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.483","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1224,"HC.3","KS","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.7","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1225,"HC.3","KS","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.517","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1226,"HC.3","KS","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.428","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1227,"HC.3","KY","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.747","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1228,"HC.3","KY","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.599","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1229,"HC.3","KY","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.505","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1230,"HC.3","LA","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.722","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1231,"HC.3","LA","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.499","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1232,"HC.3","LA","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.485","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1233,"HC.3","MD","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.781","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1234,"HC.3","MD","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.559","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1235,"HC.3","MD","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.465","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and managed care populations (9 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1236,"HC.3","MA","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.817","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1237,"HC.3","MA","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.662","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1238,"HC.3","MA","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.531","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1239,"HC.3","MI","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.794","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1240,"HC.3","MI","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.567","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1241,"HC.3","MI","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.484","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1242,"HC.3","MN","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.744","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and managed care populations (9 MCOs). State noted: ""Rates include paid claims only. Optional exclusion (e.g., Deceased members exclusion) was not applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1243,"HC.3","MN","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.579","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and managed care populations (9 MCOs). State noted: ""Rates include paid claims only. Optional exclusion (e.g., Deceased members exclusion) was not applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1244,"HC.3","MN","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.489","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and managed care populations (9 MCOs). State noted: ""Rates include paid claims only. Optional exclusion (e.g., Deceased members exclusion) was not applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1245,"HC.3","MS","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.73","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1246,"HC.3","MS","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.407","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1247,"HC.3","MS","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.343","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1248,"HC.3","MO","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.812","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1249,"HC.3","MO","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.557","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1250,"HC.3","MO","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.389","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1251,"HC.3","MT","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1252,"HC.3","MT","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1253,"HC.3","MT","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1254,"HC.3","NE","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.73","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1255,"HC.3","NE","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.454","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1256,"HC.3","NE","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.425","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1257,"HC.3","NV","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1258,"HC.3","NV","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1259,"HC.3","NV","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1260,"HC.3","NH","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.758","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1261,"HC.3","NH","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.558","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1262,"HC.3","NH","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.503","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1263,"HC.3","NJ","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.693","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1264,"HC.3","NJ","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.515","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1265,"HC.3","NJ","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.42","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1266,"HC.3","NM","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.554","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (3 MCOs). Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs administrative data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1267,"HC.3","NM","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.333","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (3 MCOs). Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs administrative data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1268,"HC.3","NM","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.279","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (3 MCOs). Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs administrative data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1269,"HC.3","ND","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.695","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1270,"HC.3","ND","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.482","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1271,"HC.3","ND","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.434","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1272,"HC.3","OH","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.771","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1273,"HC.3","OH","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.527","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1274,"HC.3","OH","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.436","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1275,"HC.3","OK","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.697","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1276,"HC.3","OK","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.474","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1277,"HC.3","OK","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.431","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1278,"HC.3","OR","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.663","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1279,"HC.3","OR","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.478","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1280,"HC.3","OR","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.415","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1281,"HC.3","PA","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.757","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1282,"HC.3","PA","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.518","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1283,"HC.3","PA","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.479","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1284,"HC.3","RI","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.836","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1285,"HC.3","RI","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.597","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1286,"HC.3","RI","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.564","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1287,"HC.3","SC","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.753","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1288,"HC.3","SC","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.529","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1289,"HC.3","SC","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.458","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1290,"HC.3","SD","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.614","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1291,"HC.3","SD","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.386","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1292,"HC.3","SD","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid & CHIP","CAHPS 5.1H","0.386","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1293,"HC.3","TN","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.738","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1294,"HC.3","TN","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.484","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1295,"HC.3","TN","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.398","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1296,"HC.3","TX","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.628","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1297,"HC.3","TX","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.386","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1298,"HC.3","TX","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.325","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1299,"HC.3","VT","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.708","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1300,"HC.3","VT","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.532","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1301,"HC.3","VT","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Denominator is less than 100","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1302,"HC.3","VA","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.723","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (6 MCOs). State reported that rates exclude the following populations: ""The denominator represents the state total NCQA Quality Compass HEDIS rate and excludes the fee-for-service population."" State reported the following deviations: ""The data reported are the NCQA Quality Compass HEDIS measure rates, which is the age range of 18 and older as the age stratification.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1303,"HC.3","VA","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.494","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (6 MCOs). State reported that rates exclude the following populations: ""The denominator represents the state total NCQA Quality Compass HEDIS rate and excludes the fee-for-service population."" State reported the following deviations: ""The data reported are the NCQA Quality Compass HEDIS measure rates, which is the age range of 18 and older as the age stratification.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1304,"HC.3","VA","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","CAHPS 5.1H","0.417","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (6 MCOs). State reported that rates exclude the following populations: ""The denominator represents the state total NCQA Quality Compass HEDIS rate and excludes the fee-for-service population."" State reported the following deviations: ""The data reported are the NCQA Quality Compass HEDIS measure rates, which is the age range of 18 and older as the age stratification.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1305,"HC.3","WA","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.669","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1306,"HC.3","WA","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.459","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1307,"HC.3","WA","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.419","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1308,"HC.3","WV","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.717","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1309,"HC.3","WV","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.469","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1310,"HC.3","WV","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.433","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated by the state and reported in the QMR system. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1311,"HC.3","WI","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.735","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1312,"HC.3","WI","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.528","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1313,"HC.3","WI","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.485","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1314,"HC.3","AK","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1315,"HC.3","NC","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1316,"HC.3","NY","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1317,"HC.3","PR","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1318,"HC.3","UT","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1319,"HC.3","FL","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1320,"HC.3","IA","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1321,"HC.3","ID","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1322,"HC.3","ME","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1323,"HC.3","WY","Rate","Advising Users to Quit","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years",True,"percent","36","0.73","","0.836","0.554","0.694","0.765","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",464
1324,"HC.3","AK","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1325,"HC.3","NC","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1326,"HC.3","NY","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1327,"HC.3","PR","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1328,"HC.3","UT","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1329,"HC.3","FL","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1330,"HC.3","IA","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1331,"HC.3","ID","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1332,"HC.3","ME","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1333,"HC.3","WY","Rate","Discussing Cessation Medications","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years",True,"percent","36","0.516","","0.662","0.333","0.463","0.558","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",465
1334,"HC.3","AK","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1335,"HC.3","NC","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1336,"HC.3","NY","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1337,"HC.3","PR","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1338,"HC.3","UT","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1339,"HC.3","FL","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1340,"HC.3","IA","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1341,"HC.3","ID","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1342,"HC.3","ME","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1343,"HC.3","WY","Rate","Discussing Cessation Strategies","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Methods or Strategies: Ages 18 to 64 Years",True,"percent","35","0.433","","0.598","0.279","0.415","0.484","Not Reported","CMS used two data sources for reporting this measure for the 2023 Adult Core Set. The two sources are the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024 and Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. The state-specific comments identify the data source for each state’s rate for the 2023 Core Set.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",466
1344,"HC.32","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","4.5","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1345,"HC.32","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","3.1","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1346,"HC.32","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","1.9","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. For calculating beneficiary months, last day of month was used. Data does not include UB-04 codes. Transfers were identified by using custom logic based on bill type codes and provider ID.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1347,"HC.32","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","2.0","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1348,"HC.32","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","2.8","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1349,"HC.32","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","5.4","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1350,"HC.32","DE","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","6.0","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1351,"HC.32","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","2.7","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1352,"HC.32","ID","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","2.1","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1353,"HC.32","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","3.0","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1354,"HC.32","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","6.4","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1355,"HC.32","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","1.9","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1356,"HC.32","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","1.7","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1357,"HC.32","ME","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","1.8","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1358,"HC.32","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","2.8","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1359,"HC.32","MA","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","2.8","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, ICM, and managed care populations (15 MCOs). Rate also includes ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1360,"HC.32","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","3.9","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1361,"HC.32","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","2.1","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid claims only.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1362,"HC.32","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","2.0","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1363,"HC.32","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","4.4","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1364,"HC.32","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","1.2","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1365,"HC.32","NV","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","3.5","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1366,"HC.32","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","2.5","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1367,"HC.32","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","4.7","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (47 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1368,"HC.32","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","8.5","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1369,"HC.32","ND","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","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: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1370,"HC.32","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","3.1","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1371,"HC.32","OR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","1.8","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1372,"HC.32","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","5.1","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated. State reported the following deviations: ""Age was determined at age of discharge.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1373,"HC.32","PR","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","32.1","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1374,"HC.32","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","1.3","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1375,"HC.32","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","3.3","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1376,"HC.32","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","1.7","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1377,"HC.32","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","2.2","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1378,"HC.32","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","2.5","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1379,"HC.32","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","2.2","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1380,"HC.32","WV","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","1.2","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: 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 Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Members are included in the denominator if their age falls within the stated range during the reporting time period; the state determines age in the denominator and not at the time of a hospital admission; numerator exclusions with missing gender, age, principal diagnosis were not applied; numerator exclusion criteria requiring a check of prior admits for type of transfer Point of Origin are not included.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1381,"HC.32","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","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: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1382,"HC.32","AK","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1383,"HC.32","NJ","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1384,"HC.32","NM","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1385,"HC.32","OH","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1386,"HC.32","RI","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1387,"HC.32","UT","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1388,"HC.32","VA","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1389,"HC.32","WI","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1390,"HC.32","MT","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1391,"HC.32","DC","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1392,"HC.32","FL","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1393,"HC.32","GA","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1394,"HC.32","IN","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1395,"HC.32","KY","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Asthma per 100,000 Beneficiary Months: Ages 18 to 39",True,"countFloat","36","2.8","","32.1","1.2","2.0","4.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1396,"HC.33","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","98.8","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1397,"HC.33","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","23.5","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1398,"HC.33","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","21.0","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""For calculating beneficiary months, last day of month was used. Data does not include UB-04 codes. Transfers were identified by using custom logic based on bill type codes and provider ID.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1399,"HC.33","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","27.6","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1400,"HC.33","DE","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","41.3","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1401,"HC.33","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","13.8","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1402,"HC.33","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","27.0","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1403,"HC.33","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","287.5","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1404,"HC.33","KS","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","49.2","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1405,"HC.33","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","19.0","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1406,"HC.33","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","18.7","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1407,"HC.33","MD","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","25.9","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1408,"HC.33","MA","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","31.3","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, ICM, and managed care populations (15 MCOs). Rate also includes ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1409,"HC.33","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","29.9","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1410,"HC.33","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","17.0","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid claims only.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1411,"HC.33","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","59.6","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1412,"HC.33","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","53.9","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1413,"HC.33","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","14.5","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1414,"HC.33","NV","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","19.0","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1415,"HC.33","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","23.6","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1416,"HC.33","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","24.8","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (63 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1417,"HC.33","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","259.7","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1418,"HC.33","ND","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","38.1","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1419,"HC.33","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","32.0","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1420,"HC.33","OR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","15.1","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1421,"HC.33","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","33.2","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated. State reported the following deviations: ""Age was determined at age of discharge."" State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1422,"HC.33","PR","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","118.3","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1423,"HC.33","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","28.2","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1424,"HC.33","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","21.8","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1425,"HC.33","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","26.9","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1426,"HC.33","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","55.3","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1427,"HC.33","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","25.8","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1428,"HC.33","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","16.7","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1429,"HC.33","WV","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","24.5","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: 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 Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Members are included in the denominator if their age falls within the stated range during the reporting time period; the state determines age in the denominator and not at the time of a hospital admission; numerator exclusions with missing gender, age, principal diagnosis were not applied; numerator exclusion criteria requiring a check of prior admits for type of transfer Point of Origin are not included.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1430,"HC.33","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","61.6","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1431,"HC.33","AK","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1432,"HC.33","NJ","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1433,"HC.33","NM","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1434,"HC.33","OH","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1435,"HC.33","RI","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1436,"HC.33","UT","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1437,"HC.33","VA","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1438,"HC.33","WI","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1439,"HC.33","MT","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1440,"HC.33","CA","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1441,"HC.33","CO","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1442,"HC.33","DC","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1443,"HC.33","FL","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1444,"HC.33","GA","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1445,"HC.33","ID","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1446,"HC.33","IN","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1447,"HC.33","KY","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64",True,"countFloat","35","27.0","","287.5","13.8","21.0","49.2","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1448,"HC.34","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","27.5","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1449,"HC.34","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","16.4","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1450,"HC.34","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","18.0","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""For calculating beneficiary months, last day of month was used. Data does not include UB-04 codes. Transfers were identified by using custom logic based on bill type codes and provider ID.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1451,"HC.34","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","11.5","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1452,"HC.34","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","12.4","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1453,"HC.34","DE","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","18.9","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1454,"HC.34","GA","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","13.1","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1455,"HC.34","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","8.8","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1456,"HC.34","ID","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","10.8","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1457,"HC.34","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","12.8","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1458,"HC.34","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","24.9","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1459,"HC.34","KS","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","21.9","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1460,"HC.34","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","16.2","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1461,"HC.34","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","13.1","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1462,"HC.34","MD","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","13.5","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1463,"HC.34","MA","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","9.9","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, ICM, and managed care populations (15 MCOs). Rate also includes ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1464,"HC.34","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","17.7","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1465,"HC.34","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","13.0","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid claims only.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1466,"HC.34","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","26.1","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1467,"HC.34","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","28.9","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1468,"HC.34","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","14.7","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1469,"HC.34","NV","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","11.1","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1470,"HC.34","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","13.0","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1471,"HC.34","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","14.1","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""AHRQ measurement year 2022 administrative collection method submitted by the MCOs."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1472,"HC.34","NM","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","19.1","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Reports submitted by MCOs directly on State prescribed templates."" State noted: ""Technical specifications provided to the MCOs for this measure did not include Medicare and Medicaid Dually Eligible populations. Only the Medicaid population was reported for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1473,"HC.34","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","10.2","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (63 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1474,"HC.34","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","19.6","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""All adults ages 18 to 64 were captured in this measure.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1475,"HC.34","ND","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","20.3","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1476,"HC.34","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","22.8","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1477,"HC.34","OR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","14.5","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1478,"HC.34","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","16.3","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated. State reported the following deviations: ""Age was determined at age of discharge."" State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1479,"HC.34","PR","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","22.6","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1480,"HC.34","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","15.1","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1481,"HC.34","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","17.4","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1482,"HC.34","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","15.6","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1483,"HC.34","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","18.4","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1484,"HC.34","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","12.9","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1485,"HC.34","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","13.3","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1486,"HC.34","WV","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","9.2","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: 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 Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Members are included in the denominator if their age falls within the stated range during the reporting time period; the state determines age in the denominator and not at the time of a hospital admission; numerator exclusions with missing gender, age, principal diagnosis were not applied; numerator exclusion criteria requiring a check of prior admits for type of transfer Point of Origin are not included.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1487,"HC.34","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","17.4","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1488,"HC.34","AK","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1489,"HC.34","OH","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1490,"HC.34","RI","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1491,"HC.34","UT","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1492,"HC.34","VA","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1493,"HC.34","WI","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1494,"HC.34","MT","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1495,"HC.34","CO","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1496,"HC.34","DC","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1497,"HC.34","FL","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1498,"HC.34","IN","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1499,"HC.34","KY","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","40","15.4","","28.9","8.8","13.0","19.0","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1500,"HC.35","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.746","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""Alabama Medicaid analysis has shown using only CMS-provided values sets did not accurately provide the number deliveries that happened in the state. Therefore, the agency utilizes hospital claims data, case management data and maternity claims data in addition to the CMS-provided value set. Further, the state uses Vital Statistics Birth Certificate data as a validation tool.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1501,"HC.35","AZ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative & Hybrid","0.698","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1502,"HC.35","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.792","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan for Kaiser North and South which reported administratively."" Rate was derived using both administrative and hybrid method data. Fifty-three managed care plan reporting units used the hybrid methodology. Administrative data were used for 3 managed care reporting units and the FFS delivery system. Denominator is the measure-eligible population. Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1503,"HC.35","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.513","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1504,"HC.35","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.8","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Denominator is the sample size; measure-eligible population is 10,708. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1505,"HC.35","DE","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.756","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (2 MCOs). State reported that the rate excludes the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Denominator is the sample size; measure-eligible population is 3,263. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1506,"HC.35","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.723","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 2,726. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1507,"HC.35","FL","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.735","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (13 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Denominator is the sample size; measure-eligible population is 73,853. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1508,"HC.35","GA","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.693","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Denominator is the sample size; measure-eligible population is 51,237. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1509,"HC.35","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative & Hybrid","0.714","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan."" Rate was derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 5,906. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1510,"HC.35","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.681","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1511,"HC.35","IN","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.764","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Sample size and measure-eligible population are not available.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1512,"HC.35","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.761","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Sample size is 5,275; measure-eligible population is 11,083. Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1513,"HC.35","KY","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.782","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Denominator is the sample size; measure-eligible population is 22,362. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1514,"HC.35","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.77","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 29,385. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1515,"HC.35","ME","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.511","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1516,"HC.35","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.816","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (8 MCOs). Denominator is the sample size; measure-eligible population is 22,205. Rate was audited or validated. State noted: ""Kaiser reported PPC administratively. Therefore the data do not include Kaiser data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1517,"HC.35","MA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.838","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1518,"HC.35","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.647","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1519,"HC.35","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.537","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1520,"HC.35","MS","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.727","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Denominator is the sample size; measure-eligible population is 11,286.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1521,"HC.35","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.538","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1522,"HC.35","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.804","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System."" Denominator is the sample size; measure-eligible population is 7,823.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1523,"HC.35","NV","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.722","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Denominator is the sample size; measure-eligible population is 10,045. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1524,"HC.35","NH","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.806","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" Denominator is the sample size; measure-eligible population is 2,619. Rate was audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1525,"HC.35","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.803","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""HEDIS measurement year 2022 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 24,215. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1526,"HC.35","NM","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.704","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Denominator is the sample size; measure-eligible population is 11,673. Rate was audited or validated. State noted: ""The data reported is an aggregated total of all 3 MCOs' Hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1527,"HC.35","NY","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.824","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (26 MCOs). Denominator is the sample size; measure-eligible population is 90,218. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1528,"HC.35","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.608","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1529,"HC.35","ND","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.411","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1530,"HC.35","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.726","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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 hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" Denominator is the sample size; measure-eligible population is 46,670. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1531,"HC.35","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.301","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" State noted: ""Oklahoma bills prenatal and postpartum care utilizing a global code that is not included in this measure. When analyzing the data including the global billing codes, Oklahoma's rate is: Denominator: 21,507; Numerator: 10,966; Rate: 51.0%.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1532,"HC.35","OR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.808","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (16 MCOs). Denominator is the sample size; measure-eligible population is 12,963.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1533,"HC.35","PA","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.816","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1534,"HC.35","RI","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.869","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Denominator is the sample size; measure-eligible population is 4,053. Rate was audited or validated. State noted: ""The denominator is the sum of the samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1535,"HC.35","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.76","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 21,916. State noted: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1536,"HC.35","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.348","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1537,"HC.35","TN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.766","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1538,"HC.35","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative & Hybrid","0.774","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was derived using both administrative and hybrid method data. For FFY 2023 PPC-AD, State of Texas Access Reform (STAR) program used hybrid data collection, while all other programs contributed administrative data. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1539,"HC.35","UT","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.752","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics Medical Records: Both EHR and Paper."" Denominator is the sample size; measure-eligible population is 6,322. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1540,"HC.35","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.788","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Denominator is the sample size; measure-eligible population is 1,886. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1541,"HC.35","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.775","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 24,472. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1542,"HC.35","WV","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.781","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Only the MCO population is included for hybrid reporting. Budgeting and staffing constraints prevent hybrid reporting for the FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1543,"HC.35","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.804","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Fourteen HMOs reported using the hybrid method."" Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1544,"HC.35","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.614","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1545,"HC.35","AK","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1546,"HC.35","PR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1547,"HC.35","VA","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1548,"HC.35","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1549,"HC.35","AR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1550,"HC.35","IA","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1551,"HC.35","ID","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery",True,"percent","45","0.756","","0.869","0.301","0.693","0.792","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1552,"HC.36","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.683","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and PCCM populations. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1553,"HC.36","AL","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.6","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS population. Administrative data source is vital records. The state described the ""other"" data source used to calculate the measure as the following: ""Since markers of prenatal care are not available in claims data, the month of gestation that prenatal care began, as recorded in the state's vital records, was used to determine when prenatal care began.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
1554,"HC.36","AK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.717","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. State noted: ""There might be slight underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1555,"HC.36","AZ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.831","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1556,"HC.36","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.789","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rate was derived using both administrative and hybrid method data. Fifty-three managed care plan reporting units used the hybrid methodology. Administrative data were used for 3 managed care reporting units and the FFS delivery system. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1557,"HC.36","CO","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.612","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims/encounters and vital records. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1558,"HC.36","CO","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.42","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
1559,"HC.36","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.92","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Denominator is the sample size; measure-eligible population is 10,708. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1560,"HC.36","DE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.796","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Administrative data sources are claims/encounters and vital records. Denominator is the sample size; measure-eligible population is 3,696. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1561,"HC.36","FL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.79","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was derived using both administrative and hybrid method data. Fee-For-Service, Medicaid Managed Care, and Children's Medical Services Health Plan (CMSHP) used hybrid methodology. Medikids is not included because the age group is not applicable for this measure. Two Florida Healthy Kids plans used the hybrid methodology and one plan reported using the administrative methodology. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1562,"HC.36","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.793","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Denominator is the sample size; measure-eligible population is 51,237. Rate was audited or validated. State noted: ""The rate is the sum of each MCO's rate weighted by the percent the MCO's eligible population contributes to the total eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1563,"HC.36","HI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.78","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans."" Rate was derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 5,906. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1564,"HC.36","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.672","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1565,"HC.36","IN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.831","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Measure-eligible population is 6,751. State noted: ""Three MCEs had a sample size of 411 and one MCE had a sample size of 328."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1566,"HC.36","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.534","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1567,"HC.36","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.8","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reported Data."" Denominator is the sample size; measure-eligible population is 11,083. Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1568,"HC.36","KY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.855","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Denominator is the sample size; measure-eligible population is 22,362. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1569,"HC.36","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.829","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Sample size is 1,516; measure-eligible population is 29,385. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1570,"HC.36","ME","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.781","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations. Administrative data sources are claims/encounters and vital records. 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. Additionally, the state's measures team has historically coded this measure by calendar year due to the timing of when the birth record data was received and to maintain consistency across years, which does not align with Core Set measure specifications.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1571,"HC.36","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.879","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (8 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Denominator is the sample size; measure-eligible population is 22,205. Rate was audited or validated. State noted: ""Kaiser reported PPC administratively. Therefore the data do not include Kaiser data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1572,"HC.36","MA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.893","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1573,"HC.36","MI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.789","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). State reported that the rate excludes the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Denominator is the sample size; measure-eligible population is 34,851. Rate was audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1574,"HC.36","MN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.589","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1575,"HC.36","MS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.902","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1576,"HC.36","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.858","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Denominator is the sample size; measure-eligible population is 24,591. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1577,"HC.36","NE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.833","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claims Data."" Denominator is the sample size; measure-eligible population is 7,823.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1578,"HC.36","NV","","","","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.806","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (4 MCOs). Denominator is the sample size; measure-eligible population is 10,045. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1579,"HC.36","NV","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
1580,"HC.36","NH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.819","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS members were excluded."" 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."" Denominator is the sample size; measure-eligible population is 2,619. Rate was audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1581,"HC.36","NJ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.826","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""HEDIS measurement year 2022 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 24,215. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1582,"HC.36","NM","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.799","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Denominator is the sample size; measure-eligible population is 11,673. Rate was audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' Hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1583,"HC.36","NY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.868","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (15 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Billing Data."" Denominator is the sample size; measure-eligible population is 88,825. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1584,"HC.36","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.418","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1585,"HC.36","NC","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
1586,"HC.36","ND","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.659","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""PPC-CH measure prior year performance not comparable due to data discrepancy that was corrected for FFY 2023 reporting.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1587,"HC.36","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.827","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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 hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" Denominator is the sample size; measure-eligible population is 46,670. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1588,"HC.36","OK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.265","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" State noted: ""Oklahoma bills delivery services using a global code which is not reflected in current measure specifications. When including global codes, Oklahoma's rate is: Denominator: 21,507; Numerator: 6,444; Rate: 30%.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1589,"HC.36","OR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.799","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (16 MCOs). Denominator is the sample size; measure-eligible population is 12,963.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1590,"HC.36","PA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.886","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1591,"HC.36","PR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.505","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1592,"HC.36","RI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.92","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Denominator is the sample size; measure-eligible population is 4,053. Rate was audited or validated. State noted: ""The denominator is the sum of the samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1593,"HC.36","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.866","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 21,916. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1594,"HC.36","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.409","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1595,"HC.36","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.814","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Administrative data sources are claims/encounters and vital records. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1596,"HC.36","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.818","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes 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."" Rate was derived using both administrative and hybrid method data. For FFY 2023 PPC, State of Texas Access Reform (STAR) used hybrid collection method, while STAR Health, STAR Kids, STAR+PLUS, and FFS contributed administrative data. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1597,"HC.36","TX","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
1598,"HC.36","UT","","","","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.801","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size; measure-eligible population is 6,322. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1599,"HC.36","UT","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
1600,"HC.36","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.793","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Denominator is the sample size; measure-eligible population is 1,886. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1601,"HC.36","VA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.741","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). State reported that the rate excludes the following populations: ""The denominator represents the state NCQA Quality Compass HEDIS rate and excludes the Fee-for-Service population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the hybrid methodology."" Sample size and measure-eligible population are not available. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1602,"HC.36","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.875","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: ""Excludes women with dual Medicaid/Medicare eligibility and/or full third-party liability."" Administrative data sources are claims/encounters and vital records. State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters. Evaluated first trimester based on gestational age at birth in addition to the specified 176-280 days before delivery. State records have an enrollment start date of the first of the month. For this analysis the state used the 15th of the month to spread out bias for administrative vs actual start of enrollment. State excluded records with missing birth certificate information about when prenatal care began that were not otherwise in the numerator (4.9% of otherwise eligible women).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1603,"HC.36","WV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.795","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid 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 Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: the criteria is based on age as of admission but the age groups were defined by end of measurement period; the rate should include all events but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1604,"HC.36","WV","","","","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.981","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Denominator is the sample size, which is equivalent to the measure-eligible population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
1605,"HC.36","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.866","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1606,"HC.36","WY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.638","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1607,"HC.36","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1608,"HC.36","AR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1609,"HC.36","DC","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1610,"HC.36","ID","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the Enrollment Start Date, or within 42 Days of Enrollment in Medicaid or CHIP",True,"percent","48","0.8","","0.92","0.265","0.729","0.844","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1611,"HC.39","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","1.0629","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1612,"HC.39","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","1.1345","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1613,"HC.39","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.9665","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1614,"HC.39","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.9238","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1615,"HC.39","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","1.2895","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1616,"HC.39","DE","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","1.2236","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1617,"HC.39","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","1.0619","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" 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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1618,"HC.39","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.9008","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1619,"HC.39","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.8577","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1620,"HC.39","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.8131","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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).","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1621,"HC.39","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","1.0663","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1622,"HC.39","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","1.3064","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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: ""Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1623,"HC.39","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","1.0124","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 (9 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1624,"HC.39","MA","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","1.1750","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1625,"HC.39","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.9785","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 (9 MCOs).","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1626,"HC.39","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","1.0821","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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: ""Rates include paid and denied claims. Optional Exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1627,"HC.39","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","1.0334","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1628,"HC.39","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","1.2276","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1629,"HC.39","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","1.0153","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1630,"HC.39","NV","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","1.2319","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1631,"HC.39","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","1.0178","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""The Managed Care Organization's data is from their claim systems."" Rates were audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1632,"HC.39","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","1.1691","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1633,"HC.39","NM","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.6742","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 aggregated total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1634,"HC.39","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.9453","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 (26 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1635,"HC.39","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.9340","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1636,"HC.39","ND","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","1.0213","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 (1 MCO). State reported that rates exclude the following populations: ""Rate excludes FFS and PCCM populations, and Medicare-Medicaid Dual Eligibles."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1637,"HC.39","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.9755","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1638,"HC.39","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","1.0092","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1639,"HC.39","OR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.7926","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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).","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1640,"HC.39","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.9351","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1641,"HC.39","RI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","1.0935","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1642,"HC.39","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.9732","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1643,"HC.39","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.2360","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1644,"HC.39","TN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","1.0318","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1645,"HC.39","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","1.1411","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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: ""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.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1646,"HC.39","UT","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.8152","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics Medical Records: Both EHR and Paper."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1647,"HC.39","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","1.0436","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1648,"HC.39","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.8730","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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).","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1649,"HC.39","WV","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.9670","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 population is excluded due to transitioning to a new system for data solutions."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System. NCQA Certified software is used for measure calculation.""","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1650,"HC.39","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.9176","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1651,"HC.39","AK","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1652,"HC.39","PR","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1653,"HC.39","VA","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1654,"HC.39","MT","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1655,"HC.39","AL","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1656,"HC.39","DC","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1657,"HC.39","ID","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1658,"HC.39","IL","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1659,"HC.39","IN","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1660,"HC.39","KS","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1661,"HC.39","KY","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1662,"HC.39","WY","","","","","","","","","","","","","","","","2023","","","","lower","Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64",True,"countFloat","40","1.0139","","1.3064","0.236","0.9289","1.0878","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","4","Other","","","",161
1663,"HC.41","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","44.5","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1664,"HC.41","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","26.0","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1665,"HC.41","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","22.4","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""For calculating beneficiary months, last day of month was used. Data does not include UB-04 codes. Transfers were identified by using custom logic based on bill type codes and provider ID.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1666,"HC.41","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","12.2","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1667,"HC.41","DE","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","18.4","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1668,"HC.41","GA","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","7.2","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1669,"HC.41","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","36.3","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1670,"HC.41","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","19.9","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1671,"HC.41","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","81.6","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1672,"HC.41","KS","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","44.7","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1673,"HC.41","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","26.5","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1674,"HC.41","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","16.6","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1675,"HC.41","MD","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","16.1","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1676,"HC.41","MA","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","18.1","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, ICM, and managed care populations (15 MCOs). Rate also includes ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1677,"HC.41","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","23.2","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1678,"HC.41","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","18.8","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid claims only.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1679,"HC.41","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","54.0","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1680,"HC.41","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","43.5","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1681,"HC.41","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","19.6","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1682,"HC.41","NV","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","24.4","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1683,"HC.41","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","16.2","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1684,"HC.41","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","15.9","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (63 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1685,"HC.41","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","124.6","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1686,"HC.41","ND","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","31.8","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1687,"HC.41","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","34.6","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1688,"HC.41","OR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","24.1","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1689,"HC.41","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","19.9","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated. State reported the following deviations: ""Age was determined at age of discharge."" State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1690,"HC.41","PR","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","50.2","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1691,"HC.41","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","16.9","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1692,"HC.41","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","19.1","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1693,"HC.41","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","24.0","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1694,"HC.41","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","43.3","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1695,"HC.41","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","10.5","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1696,"HC.41","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","22.0","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1697,"HC.41","WV","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","14.5","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: 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 Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: Members are included in the denominator if their age falls within the stated range during the reporting time period; the state determines age in the denominator and not at the time of a hospital admission; numerator exclusions with missing gender, age, principal diagnosis were not applied; numerator exclusion criteria requiring a check of prior admits for type of transfer Point of Origin are not included.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1698,"HC.41","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","4.4","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1699,"HC.41","AK","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1700,"HC.41","NJ","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1701,"HC.41","NM","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1702,"HC.41","OH","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1703,"HC.41","RI","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1704,"HC.41","UT","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1705,"HC.41","VA","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1706,"HC.41","WI","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1707,"HC.41","MT","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1708,"HC.41","CA","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1709,"HC.41","CO","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1710,"HC.41","DC","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1711,"HC.41","FL","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1712,"HC.41","ID","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1713,"HC.41","IN","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1714,"HC.41","KY","","","","","","","","","","","","","","","","2023","","","","lower","Hospitalizations for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64",True,"countFloat","36","22.2","","124.6","4.4","16.8","35.5","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
1715,"HC.42","AL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.317","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1716,"HC.42","AL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.496","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1717,"HC.42","AK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.392","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1718,"HC.42","AK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.628","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1719,"HC.42","AZ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.571","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 (14 MCOs). Rates were audited or validated. State reported the following deviations: ""Additional provider types were included within the numerator to align with the state's delivery system.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1720,"HC.42","AZ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.737","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 (14 MCOs). Rates were audited or validated. State reported the following deviations: ""Additional provider types were included within the numerator to align with the state's delivery system.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1721,"HC.42","AR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.209","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and mental health benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1722,"HC.42","AR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.385","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and mental health benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1723,"HC.42","CA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.636","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1724,"HC.42","CA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.737","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1725,"HC.42","CO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.238","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1726,"HC.42","CO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.387","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1727,"HC.42","CT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.421","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1728,"HC.42","CT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.628","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1729,"HC.42","DE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.247","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1730,"HC.42","DE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.4","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1731,"HC.42","DC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.619","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1732,"HC.42","DC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.77","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1733,"HC.42","FL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.23","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1734,"HC.42","FL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.401","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1735,"HC.42","GA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.307","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1736,"HC.42","GA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.479","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1737,"HC.42","HI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.382","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1738,"HC.42","HI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.531","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1739,"HC.42","ID","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.293","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1740,"HC.42","ID","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.453","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1741,"HC.42","IL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.152","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1742,"HC.42","IL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.256","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1743,"HC.42","IN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.246","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1744,"HC.42","IN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.403","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1745,"HC.42","IA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.412","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1746,"HC.42","IA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.615","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1747,"HC.42","KS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.431","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1748,"HC.42","KS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.649","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1749,"HC.42","KY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.32","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1750,"HC.42","KY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.546","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1751,"HC.42","LA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.169","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1752,"HC.42","LA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.357","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1753,"HC.42","ME","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.368","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1754,"HC.42","ME","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.569","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1755,"HC.42","MD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.399","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1756,"HC.42","MD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.679","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1757,"HC.42","MA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.403","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1758,"HC.42","MA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.627","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1759,"HC.42","MI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.418","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1760,"HC.42","MI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.634","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1761,"HC.42","MN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.325","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1762,"HC.42","MN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.588","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1763,"HC.42","MS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.289","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1764,"HC.42","MS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.52","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1765,"HC.42","MO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.241","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1766,"HC.42","MO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.394","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1767,"HC.42","NE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.36","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1768,"HC.42","NE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.564","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1769,"HC.42","NV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.279","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1770,"HC.42","NV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.446","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1771,"HC.42","NH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.558","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 (3 MCOs). 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."" State noted: ""Includes paid and denied claims/encounters. Members were assigned to a plan based on their latest enrollment date within the calendar year. There was no consideration for members who may have died during the measurement period. Medicaid/Medicare duals included. MCOs do not have New Hampshire Hospital data, so their results are lower.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1772,"HC.42","NH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.717","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 (3 MCOs). 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."" State noted: ""Includes paid and denied claims/encounters. Members were assigned to a plan based on their latest enrollment date within the calendar year. There was no consideration for members who may have died during the measurement period. Medicaid/Medicare duals included. MCOs do not have New Hampshire Hospital data, so their results are lower.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1773,"HC.42","NJ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.225","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1774,"HC.42","NJ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.373","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1775,"HC.42","NM","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.302","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 aggregated total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1776,"HC.42","NM","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.493","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 aggregated total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1777,"HC.42","NY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.498","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 (47 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1778,"HC.42","NY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.657","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 (47 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1779,"HC.42","NC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.198","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1780,"HC.42","NC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.352","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1781,"HC.42","ND","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.27","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1782,"HC.42","ND","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.514","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1783,"HC.42","OH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.38","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1784,"HC.42","OH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.603","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1785,"HC.42","OK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.285","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1786,"HC.42","OK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.463","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1787,"HC.42","OR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.385","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1788,"HC.42","OR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.589","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1789,"HC.42","PA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.325","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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: ""Data submitted by managed care plans and compiled by EQRO."" Rates were audited or validated. State noted: ""Although this is a HEDIS measure, the behavioral health MCOs do not undergo HEDIS audits for Medicaid. There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1790,"HC.42","PA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.52","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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: ""Data submitted by managed care plans and compiled by EQRO."" Rates were audited or validated. State noted: ""Although this is a HEDIS measure, the behavioral health MCOs do not undergo HEDIS audits for Medicaid. There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1791,"HC.42","PR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.296","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1792,"HC.42","PR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.636","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1793,"HC.42","RI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.509","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1794,"HC.42","RI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.703","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1795,"HC.42","SC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.286","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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: ""The denominator includes the CHIP population. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1796,"HC.42","SC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.51","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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: ""The denominator includes the CHIP population. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1797,"HC.42","SD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.285","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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. State reported the following deviations: ""Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1798,"HC.42","SD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.481","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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. State reported the following deviations: ""Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1799,"HC.42","TN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.347","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1800,"HC.42","TN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.558","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1801,"HC.42","TX","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.298","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1802,"HC.42","TX","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.496","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1803,"HC.42","VT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.506","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Department of Vermont Health Access used claims from MMIS as well as encounter data from the Vermont Department of Mental Health database."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1804,"HC.42","VT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.69","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Department of Vermont Health Access used claims from MMIS as well as encounter data from the Vermont Department of Mental Health database."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1805,"HC.42","VA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.265","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1806,"HC.42","VA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.484","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1807,"HC.42","WA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.415","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1808,"HC.42","WA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.617","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1809,"HC.42","WV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.144","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 (3 MCOs). The logic includes the following allowable adjustments: Age is as of the hospitalization for mental illness but the age groups were defined by end of measurement period; the rates should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1810,"HC.42","WV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.377","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 (3 MCOs). The logic includes the following allowable adjustments: Age is as of the hospitalization for mental illness but the age groups were defined by end of measurement period; the rates should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1811,"HC.42","WI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.421","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1812,"HC.42","WI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.599","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1813,"HC.42","WY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.331","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1814,"HC.42","WY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.629","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1815,"HC.42","UT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1816,"HC.42","MT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 18 to 64",True,"percent","50","0.323","","0.636","0.144","0.27","0.412","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1817,"HC.42","UT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1818,"HC.42","MT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Discharges for Adults Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 18 to 64",True,"percent","50","0.539","","0.77","0.256","0.453","0.628","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1819,"HC.43","AL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.407","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1820,"HC.43","AL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.656","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1821,"HC.43","AL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.406","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
1822,"HC.43","AL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.664","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
1823,"HC.43","AK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.259","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1824,"HC.43","AK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.44","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1825,"HC.43","AZ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.687","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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. State reported the following deviations: ""Additional provider types were included within the numerator to align with the state's delivery system.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1826,"HC.43","AZ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.846","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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. State reported the following deviations: ""Additional provider types were included within the numerator to align with the state's delivery system.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1827,"HC.43","AR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.466","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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 mental health (inpatient and outpatient) 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1828,"HC.43","AR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.689","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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 mental health (inpatient and outpatient) 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1829,"HC.43","CA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.724","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1830,"HC.43","CA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.857","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1831,"HC.43","CO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.393","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1832,"HC.43","CO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.59","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1833,"HC.43","CO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.404","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
1834,"HC.43","CO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.759","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
1835,"HC.43","CT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.589","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1836,"HC.43","CT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.806","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1837,"HC.43","DE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.278","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1838,"HC.43","DE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.463","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1839,"HC.43","DC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.649","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1840,"HC.43","DC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.829","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1841,"HC.43","FL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.386","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1842,"HC.43","FL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.623","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1843,"HC.43","GA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.453","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1844,"HC.43","GA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.69","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1845,"HC.43","HI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.529","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1846,"HC.43","HI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.626","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1847,"HC.43","ID","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.41","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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 (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1848,"HC.43","ID","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.622","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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 (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1849,"HC.43","IL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.298","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1850,"HC.43","IL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.513","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1851,"HC.43","IN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.43","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1852,"HC.43","IN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.668","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1853,"HC.43","IA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.545","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1854,"HC.43","IA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.75","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1855,"HC.43","KS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.578","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1856,"HC.43","KS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.782","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1857,"HC.43","KY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.481","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1858,"HC.43","KY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.744","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1859,"HC.43","LA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.361","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1860,"HC.43","LA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.618","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1861,"HC.43","ME","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.437","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1862,"HC.43","ME","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.683","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1863,"HC.43","MD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.51","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1864,"HC.43","MD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.81","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1865,"HC.43","MA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.572","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1866,"HC.43","MA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.804","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1867,"HC.43","MI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.6","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse/Contains copy of MMIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1868,"HC.43","MI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.818","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse/Contains copy of MMIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1869,"HC.43","MN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.489","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1870,"HC.43","MN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.752","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1871,"HC.43","MS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.384","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1872,"HC.43","MS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.656","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1873,"HC.43","MO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.402","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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). State reported that rates exclude the following populations: ""Our MCOs reported this measure, and as such it excludes FFS members."" The state described the ""other"" data sources used to calculate the measure as the following: ""Our managed care organizations perform this analysis using their own claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1874,"HC.43","MO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.64","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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). State reported that rates exclude the following populations: ""Our MCOs reported this measure, and as such it excludes FFS members."" The state described the ""other"" data sources used to calculate the measure as the following: ""Our managed care organizations perform this analysis using their own claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1875,"HC.43","NE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.554","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1876,"HC.43","NE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.761","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1877,"HC.43","NV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.474","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1878,"HC.43","NV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.665","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1879,"HC.43","NV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.532","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
1880,"HC.43","NV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.758","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
1881,"HC.43","NH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.636","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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 (3 MCOs). 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."" State noted: ""Includes paid and denied claims/encounters. Members were assigned to a plan based on their latest enrollment date within the calendar year. There was no consideration for members who may have died during the measurement period. Medicaid/Medicare duals included. MCOs do not have NHH data, so their results are lower.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1882,"HC.43","NH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.811","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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 (3 MCOs). 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."" State noted: ""Includes paid and denied claims/encounters. Members were assigned to a plan based on their latest enrollment date within the calendar year. There was no consideration for members who may have died during the measurement period. Medicaid/Medicare duals included. MCOs do not have NHH data, so their results are lower.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1883,"HC.43","NJ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.2","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1884,"HC.43","NJ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.374","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1885,"HC.43","NM","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.502","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1886,"HC.43","NM","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.736","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1887,"HC.43","NY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.718","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1888,"HC.43","NY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.862","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1889,"HC.43","NC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.332","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1890,"HC.43","NC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.562","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1891,"HC.43","NC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.441","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
1892,"HC.43","NC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.64","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
1893,"HC.43","ND","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.3","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1894,"HC.43","ND","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.572","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1895,"HC.43","OH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.575","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1896,"HC.43","OH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.825","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1897,"HC.43","OK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.37","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1898,"HC.43","OK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.638","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1899,"HC.43","OR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.412","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1900,"HC.43","OR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.651","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1901,"HC.43","PA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.542","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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 (13 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1902,"HC.43","PA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.756","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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 (13 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1903,"HC.43","PR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.334","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1904,"HC.43","PR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.738","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1905,"HC.43","RI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.604","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1906,"HC.43","RI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.775","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1907,"HC.43","SC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.493","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1908,"HC.43","SC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.749","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1909,"HC.43","SD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.273","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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. State reported the following deviations: ""Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1910,"HC.43","SD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.52","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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. State reported the following deviations: ""Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1911,"HC.43","TN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.495","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1912,"HC.43","TN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.752","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1913,"HC.43","TX","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.424","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1914,"HC.43","TX","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.678","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1915,"HC.43","TX","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.406","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
1916,"HC.43","TX","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.679","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
1917,"HC.43","UT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","","","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
1918,"HC.43","UT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","","","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
1919,"HC.43","UT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","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 (1 MCO). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1920,"HC.43","UT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","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 (1 MCO). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1921,"HC.43","VT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.631","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Vermont Medicaid incorporates data from the Vermont Department of Health's database."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1922,"HC.43","VT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.817","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Vermont Medicaid incorporates data from the Vermont Department of Health's database."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1923,"HC.43","VA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.471","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1924,"HC.43","VA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.726","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1925,"HC.43","WA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.612","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1926,"HC.43","WA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.832","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1927,"HC.43","WV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.332","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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)."" The logic includes the following allowable adjustments: The criteria is based on age as of admission but the age groups were defined by end of measurement period; the rate should include all events but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1928,"HC.43","WV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.587","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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)."" The logic includes the following allowable adjustments: The criteria is based on age as of admission but the age groups were defined by end of measurement period; the rate should include all events but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1929,"HC.43","WV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.319","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: The criteria is based on age as of admission but the age groups were defined by end of measurement period; the rates should include all events but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",177
1930,"HC.43","WV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.681","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS)."" The logic includes the following allowable adjustments: The criteria is based on age as of admission but the age groups were defined by end of measurement period; the rates should include all events but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",178
1931,"HC.43","WI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.471","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1932,"HC.43","WI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.715","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1933,"HC.43","WY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.494","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1934,"HC.43","WY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.781","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1935,"HC.43","MT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17",True,"percent","50","0.473","","0.724","0.2","0.386","0.572","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
1936,"HC.43","MT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Discharges for Children Hospitalized for Treatment of Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17",True,"percent","50","0.721","","0.862","0.374","0.626","0.782","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
1937,"HC.46","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.197","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1938,"HC.46","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.589","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Denominator is the sample size; measure-eligible population is 161,261. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1939,"HC.46","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.604","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rate was derived using both administrative and hybrid method data. Fifty-six managed care plan reporting units used the hybrid methodology. Administrative data were used for the FFS delivery system. Denominator is the measure-eligible population. Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1940,"HC.46","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.352","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs). Sample size is 411; measure-eligible population is 62,156. Rate was audited or validated. State noted: ""Rate was calculated by adding Managed Care administrative rate and FFS hybrid rate.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1941,"HC.46","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.62","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Denominator is the sample size; measure-eligible population is 54,650. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1942,"HC.46","DE","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.642","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (2 MCOs). State reported that the rate excludes the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Denominator is the sample size; measure-eligible population is 14,644. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1943,"HC.46","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.524","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 21,545.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1944,"HC.46","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative & Hybrid","0.632","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: "" Data submitted by health plans."" Rate was derived using both administrative and hybrid method data. Thirteen plans reported using the hybrid methodology. One plan reported using the administrative methodology. Denominator is the measure-eligible population. Rate was audited or validated. State noted: ""The ages 18 to 64 rate includes individuals aged 18 to 85.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1945,"HC.46","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.169","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Denominator is the sample size; measure-eligible population is 32,951. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1946,"HC.46","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative & Hybrid","0.572","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans."" Rate was derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 36,412. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1947,"HC.46","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.738","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1948,"HC.46","IN","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.586","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Denominator is the sample size; measure-eligible population is 111,954. State reported the following deviations: ""Ages 18 to 64 rate is aggregated rate for age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1949,"HC.46","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.032","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1950,"HC.46","KS","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.649","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Denominator is the sample size; measure-eligible population is 21,745. Rate is provisional. State reported the following deviations: ""Kansas did not stratify by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1951,"HC.46","KY","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.625","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Denominator is the sample size; measure-eligible population is 135,922. Rate was audited or validated. State reported the following deviations: ""The rate includes ages 18 and older. There is no age breakout for this reporting.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1952,"HC.46","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.576","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 148,127. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1953,"HC.46","MD","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.597","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). State reported that the rate excludes the following populations: ""The Medicare and Medicaid Dually- Eligible Population are carved out of managed care."" Denominator is the sample size; measure-eligible population is 100,062. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1954,"HC.46","MA","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative & Hybrid","0.687","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM, ICM, and managed care populations (15 MCOs). Rate was derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1955,"HC.46","MI","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.633","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). Denominator is the sample size; measure-eligible population is 176,263.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1956,"HC.46","MS","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.555","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Denominator is the sample size; measure-eligible population is 21,019.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1957,"HC.46","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.721","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System."" Denominator is the sample size; measure-eligible population is 17,643.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1958,"HC.46","NV","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.575","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Denominator is the sample size; measure-eligible population is 26,716. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1959,"HC.46","NH","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.632","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" Denominator is the sample size; measure-eligible population is 7,979. Rate was audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1960,"HC.46","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.658","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""HEDIS measurement year 2022 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 144,754. Rate was audited or validated. State noted: ""The State of New Jersey reported a combined rate for all member-eligible enrollees in the ages ""18-64"" performance measure section. NJ does not stratify this measure by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1961,"HC.46","NM","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.525","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Denominator is the sample size; measure-eligible population is 47,627. Rate was audited or validated. State noted: ""The data reported is an aggregated total of all 3 MCOs' Hybrid HEDIS data. Measurement year 2022 HEDIS does not stratify this measure by the requested age group of 65 to 85.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1962,"HC.46","NY","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.664","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (26 MCOs). Sample size is 9,999; measure-eligible population is 466,312. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1963,"HC.46","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.409","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Information Exchange."" State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1964,"HC.46","ND","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.479","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (1 MCO). State reported that the rate excludes the following populations: ""Rate excludes FFS and PCCM populations, and Medicare-Medicaid Dual Eligibles."" Denominator is the sample size; measure-eligible population is 1,060. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1965,"HC.46","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.619","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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 hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" Denominator is the sample size; measure-eligible population is 201,422. Rate was audited or validated. State reported the following deviations: ""The numerator, denominator and rate for this measure is reported for the Statewide Ohio Medicaid Managed Care Program. The numerator is the sum of the 5 Ohio Medicaid managed care plans' HEDIS measurement year2022 reported numerators (for Ages 18 to 85).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1966,"HC.46","OR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Electronic Health Records","0.666","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (16 MCOs). State noted: ""Oregon obtains EHR-based aggregated results from health plans based on 'all ages' 18 to 85, and is unable to stratify by age groups. Results reported in the 'ages 18 to 64 group' represents all members ages 18 to 85.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1967,"HC.46","PA","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.703","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rate was audited or validated. State noted: ""The numerator, denominator and rate are calculated as a single rate per HEDIS specification of ages 18 and older, including ages 65 to 85. Data are not available for individual age brackets.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1968,"HC.46","RI","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.706","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Denominator is the sample size; measure-eligible population is 25,279. Rate was audited or validated. State noted: ""The denominator is the sum of the samples reported by each of 3 health plans (Managed Care Organizations). The Ages 18 to 64 rate includes all individuals age 18 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1969,"HC.46","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.541","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 43,595. State noted: ""The Ages 18 to 64 rate includes data for individuals ages 18 to 85. The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1970,"HC.46","TN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.659","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Denominator is the measure-eligible population. Rate was audited or validated. State reported the following deviations: ""This measure was calculated based on the NCQA measure specifications. NCQA specifications do not stratify by age range, therefore the rate reported is for members ages 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1971,"HC.46","TX","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.552","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (16 MCOs). State reported that the rate excludes the following populations: ""State of Texas Access Reform (STAR) Health, STAR Kids, and FFS, which make up only a small portion of the overall eligible population."" 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."" Denominator is the sample size; measure-eligible population is 96,481. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1972,"HC.46","UT","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.633","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics Medical Records: Both EHR and Paper."" Denominator is the sample size; measure-eligible population is 7,084. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1973,"HC.46","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.528","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Denominator is the sample size; measure-eligible population is 11,865. State noted: ""The age group of 65 to 74 was not separately sampled for hybrid measure so rate for ages 18 to 64 is the rate for 18+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1974,"HC.46","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.593","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 67,314. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1975,"HC.46","WV","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.636","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs). State reported that the rate excludes the following populations: ""Medicare and Medicaid Dually-Eligible population is excluded as many are included in FFS only."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems for MCO population. State's Medicaid Enterprise Data Solution (EDS) for FFS population."" Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1976,"HC.46","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.655","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1977,"HC.46","AK","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1978,"HC.46","OK","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1979,"HC.46","PR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1980,"HC.46","SD","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1981,"HC.46","VA","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1982,"HC.46","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1983,"HC.46","MO","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1984,"HC.46","AR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1985,"HC.46","ID","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1986,"HC.46","ME","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1987,"HC.46","MN","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1988,"HC.46","WY","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64",True,"percent","40","0.612","","0.738","0.032","0.547","0.652","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
1989,"HC.48","AL","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.664","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
1990,"HC.48","AL","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.801","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
1991,"HC.48","AL","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.837","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
1992,"HC.48","AL","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.745","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
1993,"HC.48","AL","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.784","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
1994,"HC.48","AL","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.735","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
1995,"HC.48","AL","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.709","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
1996,"HC.48","AL","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.717","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
1997,"HC.48","AL","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.676","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
1998,"HC.48","AL","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.801","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
1999,"HC.48","AL","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.805","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2000,"HC.48","AL","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2001,"HC.48","AL","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.852","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2002,"HC.48","AL","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.686","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2003,"HC.48","AL","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.763","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2004,"HC.48","AL","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.812","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2005,"HC.48","AK","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.501","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2006,"HC.48","AK","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.641","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2007,"HC.48","AK","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.733","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2008,"HC.48","AK","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2009,"HC.48","AK","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.749","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2010,"HC.48","AK","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2011,"HC.48","AK","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.596","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2012,"HC.48","AK","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.616","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2013,"HC.48","AK","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2014,"HC.48","AK","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2015,"HC.48","AK","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2016,"HC.48","AK","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2017,"HC.48","AK","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2018,"HC.48","AK","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2019,"HC.48","AK","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2020,"HC.48","AK","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2021,"HC.48","AZ","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.613","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2022,"HC.48","AZ","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.706","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2023,"HC.48","AZ","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.791","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2024,"HC.48","AZ","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.685","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2025,"HC.48","AZ","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.78","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2026,"HC.48","AZ","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.766","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2027,"HC.48","AZ","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.738","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2028,"HC.48","AZ","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.787","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2029,"HC.48","AZ","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.535","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2030,"HC.48","AZ","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.58","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2031,"HC.48","AZ","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.75","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2032,"HC.48","AZ","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2033,"HC.48","AZ","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.769","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2034,"HC.48","AZ","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2035,"HC.48","AZ","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.734","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2036,"HC.48","AZ","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.726","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2037,"HC.48","AR","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.665","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2038,"HC.48","AR","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.753","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2039,"HC.48","AR","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.812","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2040,"HC.48","AR","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2041,"HC.48","AR","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.773","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2042,"HC.48","AR","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.78","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2043,"HC.48","AR","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.718","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2044,"HC.48","AR","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.754","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2045,"HC.48","AR","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.596","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2046,"HC.48","AR","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.708","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2047,"HC.48","AR","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.823","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2048,"HC.48","AR","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2049,"HC.48","AR","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.773","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2050,"HC.48","AR","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2051,"HC.48","AR","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.66","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2052,"HC.48","AR","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.66","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2053,"HC.48","CA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.458","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2054,"HC.48","CA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.554","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2055,"HC.48","CA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.702","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2056,"HC.48","CA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.595","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2057,"HC.48","CA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.719","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2058,"HC.48","CA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.702","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2059,"HC.48","CA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.623","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2060,"HC.48","CA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.66","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2061,"HC.48","CA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.47","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2062,"HC.48","CA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.539","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2063,"HC.48","CA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.675","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2064,"HC.48","CA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.529","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2065,"HC.48","CA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.717","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2066,"HC.48","CA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.806","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2067,"HC.48","CA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.682","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2068,"HC.48","CA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.656","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2069,"HC.48","CO","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.523","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care populations (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2070,"HC.48","CO","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.645","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care populations (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2071,"HC.48","CO","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.78","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care populations (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2072,"HC.48","CO","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.66","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care populations (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2073,"HC.48","CO","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.744","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care populations (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2074,"HC.48","CO","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.735","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care populations (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2075,"HC.48","CO","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.678","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care populations (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2076,"HC.48","CO","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.688","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care populations (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2077,"HC.48","CO","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.571","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2078,"HC.48","CO","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.653","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2079,"HC.48","CO","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.782","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2080,"HC.48","CO","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.646","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2081,"HC.48","CO","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.755","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2082,"HC.48","CO","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.723","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2083,"HC.48","CO","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.693","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2084,"HC.48","CO","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.659","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2085,"HC.48","CT","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.587","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2086,"HC.48","CT","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.67","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2087,"HC.48","CT","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.759","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2088,"HC.48","CT","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.652","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2089,"HC.48","CT","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.732","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2090,"HC.48","CT","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2091,"HC.48","CT","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.703","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2092,"HC.48","CT","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.706","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2093,"HC.48","CT","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.542","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2094,"HC.48","CT","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.66","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2095,"HC.48","CT","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.785","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2096,"HC.48","CT","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2097,"HC.48","CT","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.748","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2098,"HC.48","CT","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2099,"HC.48","CT","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.67","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2100,"HC.48","CT","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.594","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2101,"HC.48","DE","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.628","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2102,"HC.48","DE","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.649","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2103,"HC.48","DE","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.821","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2104,"HC.48","DE","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.727","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2105,"HC.48","DE","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.772","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2106,"HC.48","DE","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2107,"HC.48","DE","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.693","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2108,"HC.48","DE","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.753","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2109,"HC.48","DE","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2110,"HC.48","DE","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2111,"HC.48","DE","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2112,"HC.48","DE","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2113,"HC.48","DE","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2114,"HC.48","DE","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2115,"HC.48","DE","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2116,"HC.48","DE","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2117,"HC.48","DC","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.441","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2118,"HC.48","DC","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.554","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2119,"HC.48","DC","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.737","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2120,"HC.48","DC","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.655","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2121,"HC.48","DC","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.736","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2122,"HC.48","DC","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.68","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2123,"HC.48","DC","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.639","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2124,"HC.48","DC","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.679","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2125,"HC.48","GA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.612","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2126,"HC.48","GA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.738","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2127,"HC.48","GA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.801","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2128,"HC.48","GA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.694","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2129,"HC.48","GA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.765","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2130,"HC.48","GA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.661","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2131,"HC.48","GA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.702","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2132,"HC.48","GA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.724","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2133,"HC.48","GA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.618","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2134,"HC.48","GA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.732","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2135,"HC.48","GA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.809","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2136,"HC.48","GA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.627","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2137,"HC.48","GA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.769","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2138,"HC.48","GA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.703","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2139,"HC.48","GA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.713","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2140,"HC.48","GA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.725","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2141,"HC.48","HI","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.497","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2142,"HC.48","HI","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.596","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2143,"HC.48","HI","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.769","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2144,"HC.48","HI","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.566","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2145,"HC.48","HI","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.797","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2146,"HC.48","HI","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.756","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2147,"HC.48","HI","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.689","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2148,"HC.48","HI","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.747","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2149,"HC.48","HI","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.475","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2150,"HC.48","HI","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.555","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2151,"HC.48","HI","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.773","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2152,"HC.48","HI","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2153,"HC.48","HI","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.785","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2154,"HC.48","HI","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2155,"HC.48","HI","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.665","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2156,"HC.48","HI","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.768","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2157,"HC.48","ID","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.639","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include PCCM population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2158,"HC.48","ID","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.762","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include PCCM population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2159,"HC.48","ID","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.815","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include PCCM population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2160,"HC.48","ID","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include PCCM population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2161,"HC.48","ID","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.819","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include PCCM population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2162,"HC.48","ID","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include PCCM population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2163,"HC.48","ID","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.728","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include PCCM population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2164,"HC.48","ID","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.762","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include PCCM population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2165,"HC.48","IL","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.468","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2166,"HC.48","IL","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.602","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2167,"HC.48","IL","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.754","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2168,"HC.48","IL","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.656","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2169,"HC.48","IL","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.775","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2170,"HC.48","IL","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2171,"HC.48","IL","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.691","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2172,"HC.48","IL","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.758","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2173,"HC.48","IL","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.521","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2174,"HC.48","IL","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.62","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2175,"HC.48","IL","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.794","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2176,"HC.48","IL","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.654","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2177,"HC.48","IL","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.736","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2178,"HC.48","IL","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2179,"HC.48","IL","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.649","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2180,"HC.48","IL","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.636","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2181,"HC.48","IN","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.656","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2182,"HC.48","IN","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.741","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2183,"HC.48","IN","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.847","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2184,"HC.48","IN","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.726","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2185,"HC.48","IN","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.764","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2186,"HC.48","IN","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.715","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2187,"HC.48","IN","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.692","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2188,"HC.48","IN","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.735","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2189,"HC.48","KS","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.622","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2190,"HC.48","KS","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.709","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2191,"HC.48","KS","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.783","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2192,"HC.48","KS","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.69","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2193,"HC.48","KS","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.733","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2194,"HC.48","KS","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.724","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2195,"HC.48","KS","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.671","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2196,"HC.48","KS","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.743","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2197,"HC.48","KS","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.614","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2198,"HC.48","KS","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.701","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2199,"HC.48","KS","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.806","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2200,"HC.48","KS","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.705","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2201,"HC.48","KS","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.766","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2202,"HC.48","KS","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.774","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2203,"HC.48","KS","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.716","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2204,"HC.48","KS","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.766","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2205,"HC.48","KY","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.664","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2206,"HC.48","KY","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.744","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2207,"HC.48","KY","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.815","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2208,"HC.48","KY","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.741","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2209,"HC.48","KY","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.796","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2210,"HC.48","KY","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.732","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2211,"HC.48","KY","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.698","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2212,"HC.48","KY","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.742","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2213,"HC.48","KY","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.657","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2214,"HC.48","KY","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.801","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2215,"HC.48","KY","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.873","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2216,"HC.48","KY","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2217,"HC.48","KY","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.793","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2218,"HC.48","KY","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2219,"HC.48","KY","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.79","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2220,"HC.48","KY","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.728","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2221,"HC.48","LA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.723","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2222,"HC.48","LA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.768","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2223,"HC.48","LA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.824","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2224,"HC.48","LA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.719","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2225,"HC.48","LA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.822","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2226,"HC.48","LA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.776","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2227,"HC.48","LA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.743","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2228,"HC.48","LA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.761","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2229,"HC.48","MD","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.578","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2230,"HC.48","MD","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.649","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2231,"HC.48","MD","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.773","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2232,"HC.48","MD","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.665","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2233,"HC.48","MD","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.736","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2234,"HC.48","MD","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.693","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2235,"HC.48","MD","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.687","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2236,"HC.48","MD","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.704","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2237,"HC.48","MA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.55","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2238,"HC.48","MA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.63","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2239,"HC.48","MA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.78","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2240,"HC.48","MA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.615","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2241,"HC.48","MA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.772","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2242,"HC.48","MA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.667","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2243,"HC.48","MA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.652","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2244,"HC.48","MA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.667","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2245,"HC.48","MI","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.625","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2246,"HC.48","MI","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.744","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2247,"HC.48","MI","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.804","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2248,"HC.48","MI","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.716","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2249,"HC.48","MI","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.753","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2250,"HC.48","MI","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.724","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2251,"HC.48","MI","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.662","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2252,"HC.48","MI","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.698","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2253,"HC.48","MN","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2254,"HC.48","MN","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2255,"HC.48","MN","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2256,"HC.48","MN","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2257,"HC.48","MN","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2258,"HC.48","MN","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2259,"HC.48","MN","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2260,"HC.48","MN","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.538","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2261,"HC.48","MS","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.724","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2262,"HC.48","MS","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.765","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2263,"HC.48","MS","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.832","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2264,"HC.48","MS","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.729","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2265,"HC.48","MS","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.787","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2266,"HC.48","MS","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.788","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2267,"HC.48","MS","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.728","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2268,"HC.48","MS","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.746","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2269,"HC.48","MS","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.766","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2270,"HC.48","MS","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.799","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2271,"HC.48","MS","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.835","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2272,"HC.48","MS","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.682","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2273,"HC.48","MS","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.81","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2274,"HC.48","MS","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.784","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2275,"HC.48","MS","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.764","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2276,"HC.48","MS","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.749","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2277,"HC.48","MO","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.622","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2278,"HC.48","MO","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.753","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2279,"HC.48","MO","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.833","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2280,"HC.48","MO","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.71","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2281,"HC.48","MO","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.776","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2282,"HC.48","MO","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.748","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2283,"HC.48","MO","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.689","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2284,"HC.48","MO","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.738","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2285,"HC.48","MO","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.633","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2286,"HC.48","MO","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.754","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2287,"HC.48","MO","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.834","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2288,"HC.48","MO","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.626","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2289,"HC.48","MO","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.773","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2290,"HC.48","MO","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.706","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2291,"HC.48","MO","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.71","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2292,"HC.48","MO","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.727","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2293,"HC.48","MT","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.602","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2294,"HC.48","MT","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.762","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2295,"HC.48","MT","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.807","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2296,"HC.48","MT","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2297,"HC.48","MT","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.714","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2298,"HC.48","MT","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2299,"HC.48","MT","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.555","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2300,"HC.48","MT","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.724","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2301,"HC.48","MT","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.578","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2302,"HC.48","MT","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.705","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2303,"HC.48","MT","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.817","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2304,"HC.48","MT","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2305,"HC.48","MT","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.712","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2306,"HC.48","MT","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2307,"HC.48","MT","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.608","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2308,"HC.48","MT","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.7","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2309,"HC.48","NE","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.63","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2310,"HC.48","NE","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.725","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2311,"HC.48","NE","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.779","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2312,"HC.48","NE","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.671","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2313,"HC.48","NE","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.789","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2314,"HC.48","NE","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.69","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2315,"HC.48","NE","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.707","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2316,"HC.48","NE","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.729","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2317,"HC.48","NE","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.618","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2318,"HC.48","NE","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.718","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2319,"HC.48","NE","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.824","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2320,"HC.48","NE","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.68","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2321,"HC.48","NE","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.798","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2322,"HC.48","NE","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.772","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2323,"HC.48","NE","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.735","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2324,"HC.48","NE","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.766","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2325,"HC.48","NV","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.52","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2326,"HC.48","NV","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.631","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2327,"HC.48","NV","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.739","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2328,"HC.48","NV","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.654","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2329,"HC.48","NV","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.715","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2330,"HC.48","NV","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.633","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2331,"HC.48","NV","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.691","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2332,"HC.48","NV","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.724","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2333,"HC.48","NV","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.57","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2334,"HC.48","NV","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.663","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2335,"HC.48","NV","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2336,"HC.48","NV","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2337,"HC.48","NV","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.802","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2338,"HC.48","NV","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2339,"HC.48","NV","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.767","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2340,"HC.48","NV","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.811","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2341,"HC.48","NH","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.595","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2342,"HC.48","NH","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.702","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2343,"HC.48","NH","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.784","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2344,"HC.48","NH","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2345,"HC.48","NH","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.715","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2346,"HC.48","NH","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2347,"HC.48","NH","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.621","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2348,"HC.48","NH","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.663","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2349,"HC.48","NJ","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.516","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2350,"HC.48","NJ","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.609","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2351,"HC.48","NJ","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.744","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2352,"HC.48","NJ","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.673","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2353,"HC.48","NJ","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.732","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2354,"HC.48","NJ","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.693","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2355,"HC.48","NJ","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.658","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2356,"HC.48","NJ","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.708","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2357,"HC.48","NJ","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.514","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2358,"HC.48","NJ","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.634","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2359,"HC.48","NJ","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.767","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2360,"HC.48","NJ","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2361,"HC.48","NJ","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.72","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2362,"HC.48","NJ","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.689","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2363,"HC.48","NJ","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.638","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2364,"HC.48","NJ","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.609","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2365,"HC.48","NM","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.585","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2366,"HC.48","NM","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.639","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2367,"HC.48","NM","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.749","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2368,"HC.48","NM","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.71","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2369,"HC.48","NM","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.71","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2370,"HC.48","NM","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.703","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2371,"HC.48","NM","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.651","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2372,"HC.48","NM","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.695","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2373,"HC.48","NY","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1 and CAHPS 5.1H","0.497","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs). One plan reported using CAHPS 5.1 and 11 plans reporting using CAHPS 5.1H.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2374,"HC.48","NY","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1 and CAHPS 5.1H","0.611","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs). One plan reported using CAHPS 5.1 and 11 plans reporting using CAHPS 5.1H.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2375,"HC.48","NY","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1 and CAHPS 5.1H","0.743","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs). One plan reported using CAHPS 5.1 and 11 plans reporting using CAHPS 5.1H.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2376,"HC.48","NY","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1 and CAHPS 5.1H","0.557","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs). One plan reported using CAHPS 5.1 and 11 plans reporting using CAHPS 5.1H.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2377,"HC.48","NY","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1 and CAHPS 5.1H","0.75","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs). One plan reported using CAHPS 5.1 and 11 plans reporting using CAHPS 5.1H.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2378,"HC.48","NY","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1 and CAHPS 5.1H","0.59","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs). One plan reported using CAHPS 5.1 and 11 plans reporting using CAHPS 5.1H.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2379,"HC.48","NY","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1 and CAHPS 5.1H","0.675","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs). One plan reported using CAHPS 5.1 and 11 plans reporting using CAHPS 5.1H.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2380,"HC.48","NY","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1 and CAHPS 5.1H","0.592","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs). One plan reported using CAHPS 5.1 and 11 plans reporting using CAHPS 5.1H.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2381,"HC.48","ND","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.58","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2382,"HC.48","ND","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.721","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2383,"HC.48","ND","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.764","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2384,"HC.48","ND","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2385,"HC.48","ND","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.727","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2386,"HC.48","ND","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2387,"HC.48","ND","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.581","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2388,"HC.48","ND","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.62","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2389,"HC.48","OH","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.656","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2390,"HC.48","OH","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.757","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2391,"HC.48","OH","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.802","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2392,"HC.48","OH","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.663","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2393,"HC.48","OH","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.769","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2394,"HC.48","OH","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.731","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2395,"HC.48","OH","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.682","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2396,"HC.48","OH","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.716","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2397,"HC.48","OK","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.659","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2398,"HC.48","OK","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.712","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2399,"HC.48","OK","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.768","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2400,"HC.48","OK","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2401,"HC.48","OK","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.751","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2402,"HC.48","OK","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2403,"HC.48","OK","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.696","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2404,"HC.48","OK","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.712","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2405,"HC.48","OK","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.564","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2406,"HC.48","OK","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.729","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2407,"HC.48","OK","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.796","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2408,"HC.48","OK","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2409,"HC.48","OK","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.715","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2410,"HC.48","OK","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2411,"HC.48","OK","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.74","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2412,"HC.48","OK","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.727","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2413,"HC.48","OR","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.514","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2414,"HC.48","OR","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.61","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2415,"HC.48","OR","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.755","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2416,"HC.48","OR","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.664","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2417,"HC.48","OR","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.697","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2418,"HC.48","OR","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.651","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2419,"HC.48","OR","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.591","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2420,"HC.48","OR","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.628","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2421,"HC.48","PA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.597","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2422,"HC.48","PA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.718","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2423,"HC.48","PA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.776","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2424,"HC.48","PA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.727","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2425,"HC.48","PA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.753","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2426,"HC.48","PA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.733","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2427,"HC.48","PA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.7","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2428,"HC.48","PA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.755","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2429,"HC.48","PA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.563","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2430,"HC.48","PA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.671","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2431,"HC.48","PA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.765","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2432,"HC.48","PA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.668","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2433,"HC.48","PA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.725","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2434,"HC.48","PA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.735","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2435,"HC.48","PA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.684","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2436,"HC.48","PA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.639","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2437,"HC.48","RI","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.542","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2438,"HC.48","RI","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.717","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2439,"HC.48","RI","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.746","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2440,"HC.48","RI","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.684","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2441,"HC.48","RI","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.745","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2442,"HC.48","RI","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.725","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2443,"HC.48","RI","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.679","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2444,"HC.48","RI","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.781","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2445,"HC.48","SC","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.647","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2446,"HC.48","SC","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.755","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2447,"HC.48","SC","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.819","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2448,"HC.48","SC","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.719","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2449,"HC.48","SC","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.806","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2450,"HC.48","SC","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.775","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2451,"HC.48","SC","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.711","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2452,"HC.48","SC","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.761","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (7 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2453,"HC.48","SD","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.536","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2454,"HC.48","SD","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.653","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2455,"HC.48","SD","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.75","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2456,"HC.48","SD","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2457,"HC.48","SD","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.757","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2458,"HC.48","SD","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2459,"HC.48","SD","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.623","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2460,"HC.48","SD","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.571","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2461,"HC.48","SD","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.607","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2462,"HC.48","SD","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.818","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2463,"HC.48","SD","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.811","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2464,"HC.48","SD","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2465,"HC.48","SD","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.73","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2466,"HC.48","SD","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2467,"HC.48","SD","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.629","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2468,"HC.48","SD","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.706","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2469,"HC.48","TN","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.624","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2470,"HC.48","TN","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.735","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2471,"HC.48","TN","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.797","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2472,"HC.48","TN","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.719","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2473,"HC.48","TN","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.76","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2474,"HC.48","TN","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.732","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2475,"HC.48","TN","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.681","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2476,"HC.48","TN","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.732","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2477,"HC.48","TX","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.687","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2478,"HC.48","TX","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.708","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2479,"HC.48","TX","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.801","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2480,"HC.48","TX","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.787","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2481,"HC.48","TX","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.747","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2482,"HC.48","TX","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2483,"HC.48","TX","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.704","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2484,"HC.48","TX","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.783","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2485,"HC.48","TX","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.613","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2486,"HC.48","TX","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.718","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2487,"HC.48","TX","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.823","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2488,"HC.48","TX","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.781","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2489,"HC.48","TX","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.795","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2490,"HC.48","TX","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2491,"HC.48","TX","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.693","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2492,"HC.48","TX","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.725","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2493,"HC.48","UT","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.656","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2494,"HC.48","UT","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.691","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2495,"HC.48","UT","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.828","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2496,"HC.48","UT","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.687","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2497,"HC.48","UT","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.782","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2498,"HC.48","UT","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.692","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2499,"HC.48","UT","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.72","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2500,"HC.48","UT","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.701","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2501,"HC.48","VT","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.56","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2502,"HC.48","VT","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.72","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2503,"HC.48","VT","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.801","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2504,"HC.48","VT","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2505,"HC.48","VT","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.712","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2506,"HC.48","VT","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2507,"HC.48","VT","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.646","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2508,"HC.48","VT","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.748","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2509,"HC.48","VA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.602","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2510,"HC.48","VA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.671","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2511,"HC.48","VA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.778","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2512,"HC.48","VA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.682","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2513,"HC.48","VA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.759","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2514,"HC.48","VA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.722","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2515,"HC.48","VA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.716","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2516,"HC.48","VA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.747","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (12 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2517,"HC.48","VA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.635","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2518,"HC.48","VA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.69","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2519,"HC.48","VA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.789","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2520,"HC.48","VA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2521,"HC.48","VA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.759","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2522,"HC.48","VA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2523,"HC.48","VA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.718","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2524,"HC.48","VA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.772","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2525,"HC.48","WA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.498","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2526,"HC.48","WA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.578","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2527,"HC.48","WA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.753","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2528,"HC.48","WA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.647","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2529,"HC.48","WA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.723","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2530,"HC.48","WA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.671","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2531,"HC.48","WA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.629","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2532,"HC.48","WA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.69","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2533,"HC.48","WV","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.713","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2534,"HC.48","WV","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.799","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2535,"HC.48","WV","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.826","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2536,"HC.48","WV","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2537,"HC.48","WV","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.783","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2538,"HC.48","WV","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2539,"HC.48","WV","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.664","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2540,"HC.48","WV","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.764","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2541,"HC.48","WV","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.685","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2542,"HC.48","WV","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.814","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2543,"HC.48","WV","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.869","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2544,"HC.48","WV","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2545,"HC.48","WV","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.794","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2546,"HC.48","WV","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2547,"HC.48","WV","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.675","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2548,"HC.48","WV","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","0.735","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2549,"HC.48","WI","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.574","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2550,"HC.48","WI","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.679","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2551,"HC.48","WI","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.801","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2552,"HC.48","WI","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.677","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2553,"HC.48","WI","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.783","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2554,"HC.48","WI","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.73","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2555,"HC.48","WI","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.676","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2556,"HC.48","WI","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.718","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Medicaid rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2557,"HC.48","WI","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",771
2558,"HC.48","WI","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",772
2559,"HC.48","WI","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",773
2560,"HC.48","WI","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",774
2561,"HC.48","WI","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",482
2562,"HC.48","WI","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",483
2563,"HC.48","WI","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",484
2564,"HC.48","WI","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1H","","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (14 MCOs).","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",485
2565,"HC.48","WY","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.638","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2566,"HC.48","WY","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.763","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2567,"HC.48","WY","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.782","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2568,"HC.48","WY","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2569,"HC.48","WY","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.726","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2570,"HC.48","WY","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.702","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2571,"HC.48","WY","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.621","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2572,"HC.48","WY","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","CHIP","CAHPS 5.1","0.727","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: CHIP rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2573,"HC.48","NC","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2574,"HC.48","PR","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2575,"HC.48","FL","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2576,"HC.48","IA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2577,"HC.48","ME","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.605","","0.724","0.441","0.542","0.647","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
2578,"HC.48","NC","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2579,"HC.48","PR","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2580,"HC.48","FL","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2581,"HC.48","IA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2582,"HC.48","ME","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.709","","0.818","0.554","0.641","0.744","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
2583,"HC.48","NC","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2584,"HC.48","PR","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2585,"HC.48","FL","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2586,"HC.48","IA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2587,"HC.48","ME","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","46","0.788","","0.847","0.702","0.764","0.815","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
2588,"HC.48","NC","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2589,"HC.48","PR","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2590,"HC.48","FL","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2591,"HC.48","IA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2592,"HC.48","ME","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Ages 0 to 17",True,"percent","35","0.684","","0.787","0.557","0.655","0.719","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
2593,"HC.48","NC","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2594,"HC.48","PR","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2595,"HC.48","FL","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2596,"HC.48","IA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2597,"HC.48","ME","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.752","","0.822","0.697","0.732","0.78","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
2598,"HC.48","NC","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2599,"HC.48","PR","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2600,"HC.48","FL","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2601,"HC.48","IA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2602,"HC.48","ME","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","33","0.724","","0.788","0.59","0.692","0.735","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
2603,"HC.48","NC","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2604,"HC.48","PR","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2605,"HC.48","FL","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2606,"HC.48","IA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2607,"HC.48","ME","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","46","0.682","","0.743","0.581","0.649","0.703","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
2608,"HC.48","NC","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2609,"HC.48","PR","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2610,"HC.48","FL","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2611,"HC.48","IA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2612,"HC.48","ME","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage whose Caregiver Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Ages 0 to 17",True,"percent","47","0.718","","0.787","0.538","0.69","0.747","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
2613,"HC.50","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.389","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2614,"HC.50","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.46","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2615,"HC.50","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.437","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that the rate excludes the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""State implemented the optional exclusion for death and mastectomy. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2616,"HC.50","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.568","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2617,"HC.50","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.388","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2618,"HC.50","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.58","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2619,"HC.50","DE","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.539","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (2 MCOs). State reported that the rate excludes the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2620,"HC.50","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.467","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available to report."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" State noted: ""Only data available from the managed care program which serves ages 18 to 64 were available for this measure. DC has one managed care plan that serves ages 0 to 26 and thus is not included in this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2621,"HC.50","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.503","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rate was audited or validated. State noted: ""The ages 50 to 64 rate includes individuals aged 50 to 74.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2622,"HC.50","GA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.484","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2623,"HC.50","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.537","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2624,"HC.50","ID","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.412","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2625,"HC.50","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.476","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2626,"HC.50","IN","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.5","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs). State reported the following deviations: ""Combined rate for ages 50 to 74.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2627,"HC.50","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.511","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2628,"HC.50","KS","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative & Electronic Health Records","0.455","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Rate is provisional. State reported the following deviations: ""Kansas did not stratify by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2629,"HC.50","KY","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.473","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Rate was audited or validated. State reported the following deviations: ""The rate includes ages 50 and older. There is no age breakout for this reporting.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2630,"HC.50","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.558","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2631,"HC.50","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.553","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations. State reported the following deviations: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2632,"HC.50","MD","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.632","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). State reported that the rate excludes the following populations: ""The Medicare and Medicaid Dually-Eligible Population are carved out of managed care."" The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2633,"HC.50","MA","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.637","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM, ICM, and managed care populations (15 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2634,"HC.50","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.528","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2635,"HC.50","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.554","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid and denied claims. All optional exclusions, including deceased members exclusion, were applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2636,"HC.50","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.492","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2637,"HC.50","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.404","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2638,"HC.50","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.563","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2639,"HC.50","NV","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.481","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2640,"HC.50","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.535","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" Rate was audited or validated. State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2641,"HC.50","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.575","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated. State noted: ""The State of New Jersey reported a combined rate for all member-eligible enrollees in the ages ""50 to 64"" performance measure section. NJ does not stratify this measure by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2642,"HC.50","NM","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.409","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data. Measurement year 2022 HEDIS does not stratify this measure by the requested age group of 65 to 74.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2643,"HC.50","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.582","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (60 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2644,"HC.50","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.29","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2645,"HC.50","ND","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.281","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2646,"HC.50","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.5","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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."" Rate was audited or validated. State reported the following deviations: ""The numerator, denominator and rate for this measure is reported for the Statewide Ohio Medicaid Managed Care Program. The numerator is the sum of the 5 Ohio Medicaid managed care plans' HEDIS measurement year 2022 reported numerators (for Ages 50 to 74).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2647,"HC.50","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.298","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2648,"HC.50","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.551","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated. State noted: ""The numerator, denominator and rate entered are for ages 52 to 74. This measure was collected as a single rate. Data are not available for individual age brackets.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2649,"HC.50","PR","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.647","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2650,"HC.50","RI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.639","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Rate was audited or validated. State noted: ""The Ages 50 to 64 rate includes all individuals age 50 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2651,"HC.50","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.498","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2652,"HC.50","SD","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.235","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2653,"HC.50","TN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.485","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated. State reported the following deviations: ""The measure is calculated based on NCQA specifications. NCQA does not stratify by age, therefore the rate reported includes all members ages 50 to 74.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2654,"HC.50","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.454","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2655,"HC.50","UT","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.465","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2656,"HC.50","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.511","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rate was audited or validated. State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2657,"HC.50","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.453","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2658,"HC.50","WV","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.405","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: 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 Medicaid Enterprise Data Solution (EDS)."" Rate was audited or validated. The logic includes the following allowable adjustments: Age was defined based on the end of measurement year. No restrictions on claim type for the files that are submitted for processing on the standard data files (facility, professional, drug, and lab).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2659,"HC.50","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.322","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2660,"HC.50","AK","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2661,"HC.50","OR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2662,"HC.50","VA","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2663,"HC.50","WI","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2664,"HC.50","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64",True,"percent","47","0.492","","0.647","0.235","0.437","0.553","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
2665,"HC.53","AL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.051","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2666,"HC.53","AL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.546","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2667,"HC.53","AL","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.021","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2668,"HC.53","AL","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.143","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2669,"HC.53","AL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","Administrative","0","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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: ""Merative Health Insights database."" State reported the following deviations: ""The measure allows for a Family Planning Only Service benefit to be included in the continuous enrollment criteria for the denominator. The state cannot identify this benefit, so it has been excluded.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",467
2670,"HC.53","AL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","Administrative","0.647","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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: ""Merative Health Insights database."" State reported the following deviations: ""The measure allows for a Family Planning Only Service benefit to be included in the continuous enrollment criteria for the denominator. The state cannot identify this benefit, so it has been excluded.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",468
2671,"HC.53","AL","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","Administrative","0","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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: ""Merative Health Insights database."" State reported the following deviations: ""The measure allows for a Family Planning Only Service benefit to be included in the continuous enrollment criteria for the denominator. The state cannot identify this benefit, so it has been excluded.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",469
2672,"HC.53","AL","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","Administrative","0.216","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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: ""Merative Health Insights database."" State reported the following deviations: ""The measure allows for a Family Planning Only Service benefit to be included in the continuous enrollment criteria for the denominator. The state cannot identify this benefit, so it has been excluded.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",470
2673,"HC.53","AK","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.125","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2674,"HC.53","AK","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.418","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2675,"HC.53","AK","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.053","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2676,"HC.53","AK","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.178","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2677,"HC.53","AZ","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.038","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2678,"HC.53","AZ","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.396","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2679,"HC.53","AZ","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.016","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2680,"HC.53","AZ","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.164","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2681,"HC.53","AR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.029","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical or family planning only services benefits. Services in Arkansas Medicaid bill as part of maternity global billing, making it difficult to identify individual visits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2682,"HC.53","AR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.439","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical or family planning only services benefits. Services in Arkansas Medicaid bill as part of maternity global billing, making it difficult to identify individual visits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2683,"HC.53","AR","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.017","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical or family planning only services benefits. Services in Arkansas Medicaid bill as part of maternity global billing, making it difficult to identify individual visits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2684,"HC.53","AR","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.131","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical or family planning only services benefits. Services in Arkansas Medicaid bill as part of maternity global billing, making it difficult to identify individual visits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2685,"HC.53","CA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.045","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2686,"HC.53","CA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.402","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2687,"HC.53","CA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.026","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2688,"HC.53","CA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.17","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2689,"HC.53","CO","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.057","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2690,"HC.53","CO","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.451","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2691,"HC.53","CO","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.026","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2692,"HC.53","CO","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.217","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2693,"HC.53","CO","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","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 (4 MCOs). Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",467
2694,"HC.53","CO","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","Administrative","0.649","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",468
2695,"HC.53","CO","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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 (4 MCOs). Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",469
2696,"HC.53","CO","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","Administrative","0.351","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",470
2697,"HC.53","CT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.116","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2698,"HC.53","CT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.523","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2699,"HC.53","CT","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.073","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2700,"HC.53","CT","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.208","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2701,"HC.53","DE","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.158","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2702,"HC.53","DE","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.476","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2703,"HC.53","DE","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.095","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2704,"HC.53","DE","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.192","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2705,"HC.53","DC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.065","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2706,"HC.53","DC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.398","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2707,"HC.53","DC","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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 (4 MCOs). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2708,"HC.53","DC","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.156","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2709,"HC.53","FL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.02","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2710,"HC.53","FL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.277","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2711,"HC.53","FL","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.01","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2712,"HC.53","FL","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.073","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2713,"HC.53","HI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.067","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2714,"HC.53","HI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.435","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2715,"HC.53","HI","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.046","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2716,"HC.53","HI","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.213","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2717,"HC.53","ID","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","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 PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2718,"HC.53","ID","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.485","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2719,"HC.53","ID","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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 PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2720,"HC.53","ID","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.231","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2721,"HC.53","IL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.046","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2722,"HC.53","IL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.407","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2723,"HC.53","IL","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.032","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2724,"HC.53","IL","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.146","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2725,"HC.53","IN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.061","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2726,"HC.53","IN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.469","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2727,"HC.53","IN","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.029","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2728,"HC.53","IN","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.152","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2729,"HC.53","KS","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.032","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2730,"HC.53","KS","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.448","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2731,"HC.53","KS","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.018","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2732,"HC.53","KS","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.176","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2733,"HC.53","LA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.061","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2734,"HC.53","LA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.551","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2735,"HC.53","LA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.04","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2736,"HC.53","LA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.155","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2737,"HC.53","ME","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.067","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2738,"HC.53","ME","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.567","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2739,"HC.53","ME","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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, 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2740,"HC.53","ME","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.228","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2741,"HC.53","MA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.102","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2742,"HC.53","MA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.562","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2743,"HC.53","MA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.072","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2744,"HC.53","MA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.273","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2745,"HC.53","MI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.064","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse - Contains a copy of MMIS data."" State reported the following deviations: ""The specifications state that paid, suspended/pending and denied claims should all be included. The rates reported do not include suspended/pending claims as these are a very tiny fraction of all claims and would be very difficult to include.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2746,"HC.53","MI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.453","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse - Contains a copy of MMIS data."" State reported the following deviations: ""The specifications state that paid, suspended/pending and denied claims should all be included. The rates reported do not include suspended/pending claims as these are a very tiny fraction of all claims and would be very difficult to include.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2747,"HC.53","MI","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.017","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse - Contains a copy of MMIS data."" State reported the following deviations: ""The specifications state that paid, suspended/pending and denied claims should all be included. The rates reported do not include suspended/pending claims as these are a very tiny fraction of all claims and would be very difficult to include.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2748,"HC.53","MI","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.128","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse - Contains a copy of MMIS data."" State reported the following deviations: ""The specifications state that paid, suspended/pending and denied claims should all be included. The rates reported do not include suspended/pending claims as these are a very tiny fraction of all claims and would be very difficult to include.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2749,"HC.53","MN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.031","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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 claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2750,"HC.53","MN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.448","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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 claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2751,"HC.53","MN","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.015","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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 claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2752,"HC.53","MN","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.197","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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 claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2753,"HC.53","MS","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.014","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2754,"HC.53","MS","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.392","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2755,"HC.53","MS","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Managed Care Health Plan Reporting.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2756,"HC.53","MS","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.217","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2757,"HC.53","MO","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.069","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2758,"HC.53","MO","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.493","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2759,"HC.53","MO","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.027","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2760,"HC.53","MO","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.175","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2761,"HC.53","NE","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.018","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2762,"HC.53","NE","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.416","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2763,"HC.53","NE","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claims Data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2764,"HC.53","NE","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.207","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2765,"HC.53","NV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.041","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2766,"HC.53","NV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.367","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2767,"HC.53","NV","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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 (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2768,"HC.53","NV","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.114","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2769,"HC.53","NV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",467
2770,"HC.53","NV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",468
2771,"HC.53","NV","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",469
2772,"HC.53","NV","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",470
2773,"HC.53","NH","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","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 (3 MCOs). State reported that rates exclude the following populations: ""FFS members were excluded."" 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2774,"HC.53","NH","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.567","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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."" 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2775,"HC.53","NH","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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 (3 MCOs). State reported that rates exclude the following populations: ""FFS members were excluded."" 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2776,"HC.53","NH","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.276","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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."" 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2777,"HC.53","NJ","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.033","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2778,"HC.53","NJ","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.391","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2779,"HC.53","NJ","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2780,"HC.53","NJ","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.073","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2781,"HC.53","NY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.085","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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 (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2782,"HC.53","NY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.473","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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 (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2783,"HC.53","NY","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.05","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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 (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2784,"HC.53","NY","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.168","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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 (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2785,"HC.53","NC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.093","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2786,"HC.53","NC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.548","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2787,"HC.53","NC","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.043","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2788,"HC.53","NC","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.206","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2789,"HC.53","NC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",467
2790,"HC.53","NC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",468
2791,"HC.53","NC","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",469
2792,"HC.53","NC","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",470
2793,"HC.53","ND","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","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: Medicaid rates include FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2794,"HC.53","ND","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.336","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2795,"HC.53","ND","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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: Medicaid rates include FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2796,"HC.53","ND","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.092","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2797,"HC.53","OK","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.064","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2798,"HC.53","OK","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.505","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2799,"HC.53","OK","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.031","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2800,"HC.53","OK","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.159","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2801,"HC.53","PA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.156","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2802,"HC.53","PA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.537","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2803,"HC.53","PA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.084","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2804,"HC.53","PA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.191","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2805,"HC.53","PR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.025","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2806,"HC.53","PR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.093","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2807,"HC.53","PR","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2808,"HC.53","PR","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","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 (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2809,"HC.53","SC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.121","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2810,"HC.53","SC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.527","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2811,"HC.53","SC","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.077","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2812,"HC.53","SC","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.183","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2813,"HC.53","SD","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.093","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2814,"HC.53","SD","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.455","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2815,"HC.53","SD","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.072","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2816,"HC.53","SD","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.229","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2817,"HC.53","TN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.063","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2818,"HC.53","TN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.519","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2819,"HC.53","TN","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.028","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2820,"HC.53","TN","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.206","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2821,"HC.53","TX","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.031","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2822,"HC.53","TX","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.432","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2823,"HC.53","TX","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.017","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2824,"HC.53","TX","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.194","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2825,"HC.53","TX","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",467
2826,"HC.53","TX","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",468
2827,"HC.53","TX","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",469
2828,"HC.53","TX","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",470
2829,"HC.53","WA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.022","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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 women 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 currently only uses paid claims and denied lines from otherwise accepted encounters. State used generic product identifiers (GPI) to identify all applicable National Drug Codes (NDC) for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception. State used only procedure code dates for delivery dates and did not use the ICD-10 codes in table CCP-A. State did not use 59400 to identify births if it was paired with a diagnosis code for encounter for supervision of a normal pregnancy of less than 19-weeks gestation.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2830,"HC.53","WA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.469","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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 women 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 currently only uses paid claims and denied lines from otherwise accepted encounters. State used generic product identifiers (GPI) to identify all applicable National Drug Codes (NDC) for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception. State used only procedure code dates for delivery dates and did not use the ICD-10 codes in table CCP-A. State did not use 59400 to identify births if it was paired with a diagnosis code for encounter for supervision of a normal pregnancy of less than 19-weeks gestation.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2831,"HC.53","WA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.013","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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 women 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 currently only uses paid claims and denied lines from otherwise accepted encounters. State used generic product identifiers (GPI) to identify all applicable National Drug Codes (NDC) for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception. State used only procedure code dates for delivery dates and did not use the ICD-10 codes in table CCP-A. State did not use 59400 to identify births if it was paired with a diagnosis code for encounter for supervision of a normal pregnancy of less than 19-weeks gestation.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2832,"HC.53","WA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.231","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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 women 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 currently only uses paid claims and denied lines from otherwise accepted encounters. State used generic product identifiers (GPI) to identify all applicable National Drug Codes (NDC) for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception. State used only procedure code dates for delivery dates and did not use the ICD-10 codes in table CCP-A. State did not use 59400 to identify births if it was paired with a diagnosis code for encounter for supervision of a normal pregnancy of less than 19-weeks gestation.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2833,"HC.53","WV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.042","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2834,"HC.53","WV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.5","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2835,"HC.53","WV","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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: 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).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2836,"HC.53","WV","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid only","Administrative","0.156","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2837,"HC.53","WV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",467
2838,"HC.53","WV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",468
2839,"HC.53","WV","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",469
2840,"HC.53","WV","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",470
2841,"HC.53","WY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2842,"HC.53","WY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.362","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2843,"HC.53","WY","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2844,"HC.53","WY","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.21","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2845,"HC.53","NM","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2846,"HC.53","OH","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2847,"HC.53","OR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2848,"HC.53","RI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2849,"HC.53","UT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2850,"HC.53","VA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2851,"HC.53","VT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2852,"HC.53","WI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2853,"HC.53","MT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2854,"HC.53","GA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2855,"HC.53","IA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2856,"HC.53","KY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2857,"HC.53","MD","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","36","0.059","","0.158","0","0.032","0.077","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
2858,"HC.53","NM","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2859,"HC.53","OH","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2860,"HC.53","OR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2861,"HC.53","RI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2862,"HC.53","UT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2863,"HC.53","VA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2864,"HC.53","VT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2865,"HC.53","WI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2866,"HC.53","MT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2867,"HC.53","GA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2868,"HC.53","IA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2869,"HC.53","KY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2870,"HC.53","MD","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","39","0.453","","0.567","0.093","0.402","0.519","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
2871,"HC.53","NM","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2872,"HC.53","OH","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2873,"HC.53","OR","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2874,"HC.53","RI","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2875,"HC.53","UT","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2876,"HC.53","VA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2877,"HC.53","VT","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2878,"HC.53","WI","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2879,"HC.53","MT","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2880,"HC.53","GA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2881,"HC.53","IA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2882,"HC.53","KY","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2883,"HC.53","MD","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20",True,"percent","29","0.028","","0.095","0","0.017","0.05","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
2884,"HC.53","NM","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2885,"HC.53","OH","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2886,"HC.53","OR","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2887,"HC.53","RI","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2888,"HC.53","UT","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2889,"HC.53","VA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2890,"HC.53","VT","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2891,"HC.53","WI","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2892,"HC.53","MT","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2893,"HC.53","GA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2894,"HC.53","IA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2895,"HC.53","KY","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2896,"HC.53","MD","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 15 to 20",True,"percent","38","0.181","","0.276","0.073","0.155","0.21","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
2897,"HC.56","AL","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.747","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2898,"HC.56","AL","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.736","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2899,"HC.56","AL","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.745","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2900,"HC.56","AZ","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.573","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2901,"HC.56","AZ","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.614","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2902,"HC.56","AZ","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.585","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2903,"HC.56","CA","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.634","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed Care plan administrative data."" Rates were audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2904,"HC.56","CA","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.662","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed Care plan administrative data."" Rates were audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2905,"HC.56","CA","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.643","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed Care plan administrative data."" Rates were audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2906,"HC.56","CO","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.453","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2907,"HC.56","CO","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.508","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2908,"HC.56","CO","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.466","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2909,"HC.56","CT","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.638","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2910,"HC.56","CT","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.686","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2911,"HC.56","CT","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.653","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2912,"HC.56","DE","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.549","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2913,"HC.56","DE","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.596","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2914,"HC.56","DE","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.563","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2915,"HC.56","DC","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.552","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2916,"HC.56","DC","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.511","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2917,"HC.56","DC","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.538","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2918,"HC.56","FL","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.608","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 (13 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2919,"HC.56","FL","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.611","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 (13 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2920,"HC.56","FL","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.609","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 (13 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2921,"HC.56","GA","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.572","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2922,"HC.56","GA","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.632","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2923,"HC.56","GA","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.576","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2924,"HC.56","HI","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.578","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2925,"HC.56","HI","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.594","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2926,"HC.56","HI","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.584","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2927,"HC.56","ID","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.668","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2928,"HC.56","ID","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.641","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2929,"HC.56","ID","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.662","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2930,"HC.56","IN","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.552","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2931,"HC.56","IN","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.572","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2932,"HC.56","IN","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.556","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2933,"HC.56","IA","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.572","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2934,"HC.56","IA","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.585","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2935,"HC.56","IA","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.577","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2936,"HC.56","KS","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.58","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2937,"HC.56","KS","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.593","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2938,"HC.56","KS","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.582","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2939,"HC.56","KY","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.586","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2940,"HC.56","KY","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.58","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2941,"HC.56","KY","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.585","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2942,"HC.56","LA","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.72","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2943,"HC.56","LA","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.697","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2944,"HC.56","LA","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.713","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2945,"HC.56","ME","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.71","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2946,"HC.56","ME","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.746","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2947,"HC.56","ME","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.717","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2948,"HC.56","MD","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.639","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 (9 MCOs). State reported that rates exclude the following populations: ""The Medicare and Medicaid Dually-Eligible Population are carved out of managed care."" The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2949,"HC.56","MD","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.665","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 (9 MCOs). State reported that rates exclude the following populations: ""The Medicare and Medicaid Dually-Eligible Population are carved out of managed care."" The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2950,"HC.56","MD","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.646","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 (9 MCOs). State reported that rates exclude the following populations: ""The Medicare and Medicaid Dually-Eligible Population are carved out of managed care."" The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2951,"HC.56","MA","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.556","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2952,"HC.56","MA","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.599","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2953,"HC.56","MA","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.569","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2954,"HC.56","MI","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.54","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2955,"HC.56","MI","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.567","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2956,"HC.56","MI","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.547","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2957,"HC.56","MN","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.546","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2958,"HC.56","MN","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.603","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2959,"HC.56","MN","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.561","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2960,"HC.56","MS","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.592","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2961,"HC.56","MS","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.545","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2962,"HC.56","MS","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.578","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2963,"HC.56","MO","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.595","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2964,"HC.56","MO","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.672","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2965,"HC.56","MO","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.604","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2966,"HC.56","NE","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.693","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2967,"HC.56","NE","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.697","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2968,"HC.56","NE","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.693","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2969,"HC.56","NV","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.503","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2970,"HC.56","NV","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.539","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2971,"HC.56","NV","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.513","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2972,"HC.56","NH","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.551","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 excluded."" 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: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2973,"HC.56","NH","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.595","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 excluded."" 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: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2974,"HC.56","NH","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.561","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 excluded."" 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: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2975,"HC.56","NJ","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.688","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2976,"HC.56","NJ","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.714","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2977,"HC.56","NJ","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.697","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2978,"HC.56","NM","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.715","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 aggregated total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2979,"HC.56","NM","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.748","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 aggregated total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2980,"HC.56","NM","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.725","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 aggregated total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2981,"HC.56","NY","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.517","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 (44 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2982,"HC.56","NY","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.549","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 (44 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2983,"HC.56","NY","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.528","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 (44 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2984,"HC.56","NC","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.545","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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. State noted: ""The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2985,"HC.56","NC","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.532","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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. State noted: ""The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2986,"HC.56","NC","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.543","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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. State noted: ""The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2987,"HC.56","ND","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.864","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2988,"HC.56","ND","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.854","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2989,"HC.56","ND","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.863","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2990,"HC.56","OH","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.558","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2991,"HC.56","OH","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.567","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2992,"HC.56","OH","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.56","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2993,"HC.56","OK","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.831","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2994,"HC.56","OK","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.902","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2995,"HC.56","OK","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.852","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2996,"HC.56","PA","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.612","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
2997,"HC.56","PA","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.626","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
2998,"HC.56","PA","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.616","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
2999,"HC.56","PR","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.755","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3000,"HC.56","PR","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.742","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3001,"HC.56","PR","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.749","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3002,"HC.56","RI","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.572","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3003,"HC.56","RI","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.625","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3004,"HC.56","RI","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.588","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3005,"HC.56","SC","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.571","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3006,"HC.56","SC","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.569","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3007,"HC.56","SC","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.571","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3008,"HC.56","SD","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.462","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3009,"HC.56","SD","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.413","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3010,"HC.56","SD","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.452","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3011,"HC.56","TN","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.571","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3012,"HC.56","TN","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.544","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3013,"HC.56","TN","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.566","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3014,"HC.56","TX","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.62","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3015,"HC.56","TX","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.571","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3016,"HC.56","TX","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.609","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3017,"HC.56","UT","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.586","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3018,"HC.56","UT","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.515","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3019,"HC.56","UT","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.568","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3020,"HC.56","VT","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.5","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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. State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3021,"HC.56","VT","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.599","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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. State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3022,"HC.56","VT","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.524","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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. State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3023,"HC.56","WA","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.714","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3024,"HC.56","WA","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.725","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3025,"HC.56","WA","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.718","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3026,"HC.56","WV","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.627","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3027,"HC.56","WV","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.634","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3028,"HC.56","WV","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.629","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3029,"HC.56","WI","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.605","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3030,"HC.56","WI","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.675","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3031,"HC.56","WI","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.619","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3032,"HC.56","WY","Age","Ages 19-50","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.319","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3033,"HC.56","WY","Age","Ages 51-64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.487","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3034,"HC.56","WY","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.358","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3035,"HC.56","AK","Age","Ages 19-50","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3036,"HC.56","OR","Age","Ages 19-50","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3037,"HC.56","VA","Age","Ages 19-50","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3038,"HC.56","MT","Age","Ages 19-50","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3039,"HC.56","AR","Age","Ages 19-50","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3040,"HC.56","IL","Age","Ages 19-50","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 50",True,"percent","46","0.583","","0.864","0.319","0.552","0.639","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",622
3041,"HC.56","AK","Age","Ages 51-64","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3042,"HC.56","OR","Age","Ages 51-64","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3043,"HC.56","VA","Age","Ages 51-64","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3044,"HC.56","MT","Age","Ages 51-64","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3045,"HC.56","AR","Age","Ages 51-64","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3046,"HC.56","IL","Age","Ages 51-64","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 51 to 64",True,"percent","46","0.601","","0.902","0.413","0.567","0.675","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",623
3047,"HC.56","AK","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3048,"HC.56","OR","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3049,"HC.56","VA","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3050,"HC.56","MT","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3051,"HC.56","AR","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3052,"HC.56","IL","Age","Total (Ages 19-64)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 19 to 64",True,"percent","46","0.585","","0.863","0.358","0.561","0.653","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",624
3053,"HC.57","AL","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.88","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3054,"HC.57","AL","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.821","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3055,"HC.57","AL","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.854","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3056,"HC.57","AL","Age","Ages 5-11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.886","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",625
3057,"HC.57","AL","Age","Ages 12-18","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.861","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",626
3058,"HC.57","AL","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.875","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",627
3059,"HC.57","AK","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.747","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3060,"HC.57","AK","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.667","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3061,"HC.57","AK","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.705","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3062,"HC.57","AZ","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.713","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3063,"HC.57","AZ","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.666","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3064,"HC.57","AZ","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.688","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3065,"HC.57","AR","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.729","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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 pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3066,"HC.57","AR","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.669","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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 pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3067,"HC.57","AR","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.699","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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 pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3068,"HC.57","CA","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.772","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3069,"HC.57","CA","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.724","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3070,"HC.57","CA","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.748","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3071,"HC.57","CO","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.537","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3072,"HC.57","CO","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.414","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3073,"HC.57","CO","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.475","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3074,"HC.57","CO","Age","Ages 5-11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.674","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",625
3075,"HC.57","CO","Age","Ages 12-18","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.552","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",626
3076,"HC.57","CO","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.614","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",627
3077,"HC.57","CT","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.638","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3078,"HC.57","CT","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.62","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3079,"HC.57","CT","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.63","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3080,"HC.57","DE","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.637","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3081,"HC.57","DE","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.579","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3082,"HC.57","DE","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.607","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3083,"HC.57","DC","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.582","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3084,"HC.57","DC","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.594","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3085,"HC.57","DC","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.587","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3086,"HC.57","FL","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.813","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3087,"HC.57","FL","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.74","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3088,"HC.57","FL","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.782","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3089,"HC.57","GA","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.774","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3090,"HC.57","GA","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.735","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3091,"HC.57","GA","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.756","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3092,"HC.57","HI","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.806","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3093,"HC.57","HI","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.693","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3094,"HC.57","HI","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.754","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3095,"HC.57","ID","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.864","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3096,"HC.57","ID","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.719","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3097,"HC.57","ID","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.775","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3098,"HC.57","IN","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.759","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3099,"HC.57","IN","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.674","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3100,"HC.57","IN","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.716","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3101,"HC.57","IA","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.782","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3102,"HC.57","IA","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.658","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3103,"HC.57","IA","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.719","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3104,"HC.57","KS","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.747","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3105,"HC.57","KS","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.664","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3106,"HC.57","KS","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.704","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3107,"HC.57","KY","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.82","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3108,"HC.57","KY","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.712","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3109,"HC.57","KY","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.763","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3110,"HC.57","LA","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.796","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3111,"HC.57","LA","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.765","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3112,"HC.57","LA","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.781","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3113,"HC.57","ME","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.922","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3114,"HC.57","ME","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.836","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3115,"HC.57","ME","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.878","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3116,"HC.57","MD","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.76","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3117,"HC.57","MD","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.728","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3118,"HC.57","MD","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.744","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3119,"HC.57","MA","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.657","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3120,"HC.57","MA","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.625","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3121,"HC.57","MA","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.641","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3122,"HC.57","MI","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.715","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims review only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3123,"HC.57","MI","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.654","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims review only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3124,"HC.57","MI","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.683","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims review only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3125,"HC.57","MN","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.638","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3126,"HC.57","MN","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.585","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3127,"HC.57","MN","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.608","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3128,"HC.57","MS","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.817","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3129,"HC.57","MS","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.733","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3130,"HC.57","MS","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.773","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3131,"HC.57","MO","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.598","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""Our managed care organizations perform this analysis using their own claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3132,"HC.57","MO","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.528","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""Our managed care organizations perform this analysis using their own claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3133,"HC.57","MO","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.562","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""Our managed care organizations perform this analysis using their own claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3134,"HC.57","NE","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.787","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3135,"HC.57","NE","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.729","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3136,"HC.57","NE","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.756","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3137,"HC.57","NV","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.74","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3138,"HC.57","NV","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.647","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3139,"HC.57","NV","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.697","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3140,"HC.57","NV","Age","Ages 5-11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.787","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",625
3141,"HC.57","NV","Age","Ages 12-18","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.667","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",626
3142,"HC.57","NV","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.721","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",627
3143,"HC.57","NH","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.812","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3144,"HC.57","NH","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.683","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3145,"HC.57","NH","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.745","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3146,"HC.57","NJ","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.73","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3147,"HC.57","NJ","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.692","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3148,"HC.57","NJ","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.711","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3149,"HC.57","NM","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.83","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3150,"HC.57","NM","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.745","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3151,"HC.57","NM","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.784","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3152,"HC.57","NY","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.671","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3153,"HC.57","NY","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.625","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3154,"HC.57","NY","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.648","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3155,"HC.57","NC","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.653","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3156,"HC.57","NC","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.633","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3157,"HC.57","NC","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.643","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3158,"HC.57","NC","Age","Ages 5-11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.714","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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 denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",625
3159,"HC.57","NC","Age","Ages 12-18","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.666","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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 denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",626
3160,"HC.57","NC","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.682","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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 denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",627
3161,"HC.57","ND","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.912","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3162,"HC.57","ND","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.883","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3163,"HC.57","ND","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.895","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3164,"HC.57","OH","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.715","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3165,"HC.57","OH","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.676","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3166,"HC.57","OH","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.696","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3167,"HC.57","OK","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.921","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3168,"HC.57","OK","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.894","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3169,"HC.57","OK","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.909","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3170,"HC.57","PA","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.762","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3171,"HC.57","PA","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.731","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3172,"HC.57","PA","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.746","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3173,"HC.57","PR","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.916","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3174,"HC.57","PR","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.925","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3175,"HC.57","PR","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.921","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3176,"HC.57","RI","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.687","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3177,"HC.57","RI","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.651","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3178,"HC.57","RI","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.669","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3179,"HC.57","SC","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.744","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3180,"HC.57","SC","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.688","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3181,"HC.57","SC","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.716","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3182,"HC.57","SD","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.84","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3183,"HC.57","SD","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.728","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3184,"HC.57","SD","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.782","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3185,"HC.57","TN","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.767","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3186,"HC.57","TN","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.709","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3187,"HC.57","TN","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.74","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3188,"HC.57","TX","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.721","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3189,"HC.57","TX","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.645","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3190,"HC.57","TX","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.685","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3191,"HC.57","TX","Age","Ages 5-11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.863","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",625
3192,"HC.57","TX","Age","Ages 12-18","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.755","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",626
3193,"HC.57","TX","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.809","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",627
3194,"HC.57","UT","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.773","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3195,"HC.57","UT","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.698","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3196,"HC.57","UT","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.731","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3197,"HC.57","UT","Age","Ages 5-11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",625
3198,"HC.57","UT","Age","Ages 12-18","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",626
3199,"HC.57","UT","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","Denominator is less than 30","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",627
3200,"HC.57","VT","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.675","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3201,"HC.57","VT","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.588","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3202,"HC.57","VT","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.632","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3203,"HC.57","VA","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.716","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3204,"HC.57","VA","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.684","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3205,"HC.57","VA","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.701","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3206,"HC.57","WA","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.844","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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 for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3207,"HC.57","WA","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.769","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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 for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3208,"HC.57","WA","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.803","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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 for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3209,"HC.57","WV","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.794","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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). State reported that rates exclude the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" State noted: ""MCOs and HEDIS software used are NCQA certified.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3210,"HC.57","WV","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.687","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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). State reported that rates exclude the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" State noted: ""MCOs and HEDIS software used are NCQA certified.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3211,"HC.57","WV","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.733","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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). State reported that rates exclude the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" State noted: ""MCOs and HEDIS software used are NCQA certified.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3212,"HC.57","WV","Age","Ages 5-11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.889","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",625
3213,"HC.57","WV","Age","Ages 12-18","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.897","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",626
3214,"HC.57","WV","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.893","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",627
3215,"HC.57","WI","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.738","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3216,"HC.57","WI","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.696","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3217,"HC.57","WI","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.716","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3218,"HC.57","WY","Age","Ages 5-11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.471","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3219,"HC.57","WY","Age","Ages 12-18","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.356","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3220,"HC.57","WY","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.408","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3221,"HC.57","OR","Age","Ages 5-11","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3222,"HC.57","MT","Age","Ages 5-11","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3223,"HC.57","IL","Age","Ages 5-11","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11",True,"percent","49","0.759","","0.922","0.471","0.713","0.812","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",625
3224,"HC.57","OR","Age","Ages 12-18","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3225,"HC.57","MT","Age","Ages 12-18","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3226,"HC.57","IL","Age","Ages 12-18","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18",True,"percent","49","0.687","","0.925","0.356","0.647","0.729","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",626
3227,"HC.57","OR","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3228,"HC.57","MT","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3229,"HC.57","IL","Age","Total (Ages 5-18)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18",True,"percent","49","0.716","","0.921","0.408","0.683","0.763","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",627
3230,"HC.58","AL","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.573","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3231,"HC.58","AL","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.28","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3232,"HC.58","AK","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.609","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3233,"HC.58","AK","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.447","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3234,"HC.58","AZ","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.518","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3235,"HC.58","AZ","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.296","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3236,"HC.58","AR","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.521","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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). Rates also include ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3237,"HC.58","AR","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.347","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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). Rates also include ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3238,"HC.58","CA","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.665","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed Care Plan administrative data."" Rates were audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3239,"HC.58","CA","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.504","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed Care Plan administrative data."" Rates were audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3240,"HC.58","CO","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.668","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3241,"HC.58","CO","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.446","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3242,"HC.58","CT","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.64","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3243,"HC.58","CT","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.462","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3244,"HC.58","DE","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.557","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3245,"HC.58","DE","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.405","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3246,"HC.58","DC","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.532","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3247,"HC.58","DC","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.361","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3248,"HC.58","FL","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.59","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated. State noted: ""The ages 18 to 64 rate includes individuals aged 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3249,"HC.58","FL","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.406","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated. State noted: ""The ages 18 to 64 rate includes individuals aged 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3250,"HC.58","GA","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.452","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3251,"HC.58","GA","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.263","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3252,"HC.58","HI","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.62","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3253,"HC.58","HI","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.445","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3254,"HC.58","IL","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.574","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3255,"HC.58","IL","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.336","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3256,"HC.58","IN","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.614","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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). State reported the following deviations: ""Combined rates for Age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3257,"HC.58","IN","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.434","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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). State reported the following deviations: ""Combined rates for Age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3258,"HC.58","IA","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.542","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3259,"HC.58","IA","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.314","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3260,"HC.58","KS","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.537","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 Reported Data."" Rates are provisional. State reported the following deviations: ""Kansas did not stratify by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3261,"HC.58","KS","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.387","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 Reported Data."" Rates are provisional. State reported the following deviations: ""Kansas did not stratify by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3262,"HC.58","KY","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.627","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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. State reported the following deviations: ""The rates include ages 18 and older. There is no age breakout for this reporting.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3263,"HC.58","KY","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.449","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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. State reported the following deviations: ""The rates include ages 18 and older. There is no age breakout for this reporting.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3264,"HC.58","LA","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.546","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3265,"HC.58","LA","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.371","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3266,"HC.58","ME","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.696","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3267,"HC.58","ME","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.427","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3268,"HC.58","MD","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.538","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3269,"HC.58","MD","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.371","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3270,"HC.58","MA","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.647","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3271,"HC.58","MA","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.477","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3272,"HC.58","MI","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.563","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3273,"HC.58","MI","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.342","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3274,"HC.58","MN","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.744","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3275,"HC.58","MN","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.603","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3276,"HC.58","MS","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.504","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3277,"HC.58","MS","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.312","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3278,"HC.58","MO","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.581","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3279,"HC.58","MO","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.368","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3280,"HC.58","NE","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.61","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3281,"HC.58","NE","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.447","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3282,"HC.58","NV","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.529","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3283,"HC.58","NV","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.356","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3284,"HC.58","NH","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.664","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 excluded."" 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: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded. Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3285,"HC.58","NH","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.509","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 excluded."" 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: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded. Submitted values were based on HEDIS data for reporting year 2023, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3286,"HC.58","NJ","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.604","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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. State noted: ""The State of New Jersey reported a combined rate for all member-eligible enrollees in the ages ""18 to 64"" performance measure section. NJ does not stratify this measure by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3287,"HC.58","NJ","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.448","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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. State noted: ""The State of New Jersey reported a combined rate for all member-eligible enrollees in the ages ""18 to 64"" performance measure section. NJ does not stratify this measure by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3288,"HC.58","NM","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.609","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 aggregated total of all 3 MCOs' administrative data. Measurement year 2022 HEDIS does not stratify this measure by the requested age group of 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3289,"HC.58","NM","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.419","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 aggregated total of all 3 MCOs' administrative data. Measurement year 2022 HEDIS does not stratify this measure by the requested age group of 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3290,"HC.58","NY","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.557","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 (53 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3291,"HC.58","NY","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.406","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 (53 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3292,"HC.58","NC","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.587","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3293,"HC.58","NC","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.369","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3294,"HC.58","ND","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.678","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3295,"HC.58","ND","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.523","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3296,"HC.58","OH","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.558","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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. State reported the following deviations: ""The numerator, denominator and rate for this measure is reported for the Statewide Ohio Medicaid Managed Care Program. The numerator is the sum of the 5 Ohio Medicaid managed care plans' HEDIS measurement year 2022 reported numerators (for Ages 18 and older).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3297,"HC.58","OH","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.366","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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. State reported the following deviations: ""The numerator, denominator and rate for this measure is reported for the Statewide Ohio Medicaid Managed Care Program. The numerator is the sum of the 5 Ohio Medicaid managed care plans' HEDIS measurement year 2022 reported numerators (for Ages 18 and older).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3298,"HC.58","OK","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.578","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3299,"HC.58","OK","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.348","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3300,"HC.58","PA","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.622","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 (7 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. State noted: ""The numerator, denominator, and rate are calculated as a single rate per HEDIS specification of ages 18 and older. Data are not available for individual age brackets.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3301,"HC.58","PA","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.445","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 (7 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. State noted: ""The numerator, denominator, and rate are calculated as a single rate per HEDIS specification of ages 18 and older. Data are not available for individual age brackets.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3302,"HC.58","PR","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.478","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3303,"HC.58","PR","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.313","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3304,"HC.58","RI","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.63","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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. State noted: ""The Ages 18 to 64 rates include all individuals age 18 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3305,"HC.58","RI","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.462","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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. State noted: ""The Ages 18 to 64 rates include all individuals age 18 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3306,"HC.58","SC","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.418","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3307,"HC.58","SC","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.23","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3308,"HC.58","SD","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.521","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3309,"HC.58","SD","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.346","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3310,"HC.58","TN","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.592","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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. State reported the following deviations: ""The measure is calculated based on NCQA specifications. NCQA does not stratify by age range therefore the rates reported are for all members age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3311,"HC.58","TN","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.414","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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. State reported the following deviations: ""The measure is calculated based on NCQA specifications. NCQA does not stratify by age range therefore the rates reported are for all members age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3312,"HC.58","TX","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.51","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3313,"HC.58","TX","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.32","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3314,"HC.58","UT","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.669","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated. State noted: ""Continuation Phase Treatment data are not collected.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3315,"HC.58","UT","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated. State noted: ""Continuation Phase Treatment data are not collected.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3316,"HC.58","VT","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.79","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3317,"HC.58","VT","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.648","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3318,"HC.58","VA","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.578","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3319,"HC.58","VA","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.407","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3320,"HC.58","WA","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.65","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3321,"HC.58","WA","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.474","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3322,"HC.58","WV","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.719","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3323,"HC.58","WV","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.575","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3324,"HC.58","WI","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.671","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3325,"HC.58","WI","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.493","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3326,"HC.58","WY","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.457","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3327,"HC.58","WY","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.187","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3328,"HC.58","OR","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","","","","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3329,"HC.58","MT","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","","","","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3330,"HC.58","ID","Rate","Acute Phase Treatment","1","","","","","","","","","","","","","2023","","","","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for 12 Weeks: Ages 18 to 64",True,"percent","49","0.587","","0.79","0.418","0.538","0.64","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",471
3331,"HC.58","OR","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","","","","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3332,"HC.58","MT","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","","","","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3333,"HC.58","ID","Rate","Continuation Phase Treatment","1","","","","","","","","","","","","","2023","","","","higher","Percentage with a Diagnosis of Major Depression who were Treated with and Remained on an Antidepressant Medication for the Continuation Phase (6 Months): Ages 18 to 64",True,"percent","48","0.406","","0.648","0.187","0.347","0.449","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",472
3334,"HC.60","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","34.8","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3335,"HC.60","AL","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","24.0","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS population. The state described the ""other"" data source used to calculate the measure as the following: ""Separate CHIP claims data.""","","0","0","","","1","","","","","","","","","","","","1","Other","","","",161
3336,"HC.60","AK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","26.0","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. State noted: ""There might be some underreporting due to the timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3337,"HC.60","AZ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","32.3","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3338,"HC.60","AR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","37.4","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""Last day of the month was used to calculate beneficiary months. Delivery system computed as of the last day of the last beneficiary month counted in the denominator.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3339,"HC.60","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","32.8","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3340,"HC.60","CO","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","26.6","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (2 MCOs). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Other","","","",161
3341,"HC.60","CO","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","22.2","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3342,"HC.60","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","42.6","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3343,"HC.60","DE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","37.8","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3344,"HC.60","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","40.7","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3345,"HC.60","FL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","46.9","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3346,"HC.60","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","36.1","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3347,"HC.60","HI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","30.2","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3348,"HC.60","ID","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","27.4","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3349,"HC.60","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","36.6","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3350,"HC.60","IN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","41.8","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3351,"HC.60","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","33.9","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3352,"HC.60","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","40.9","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reported Data."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3353,"HC.60","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","47.9","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3354,"HC.60","ME","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","34.0","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3355,"HC.60","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","27.6","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3356,"HC.60","MA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","36.0","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3357,"HC.60","MI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","39.1","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). State reported that the rate excludes the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims review only."" Rate was audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3358,"HC.60","MN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","34.5","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Data source includes paid and denied claims only.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3359,"HC.60","MS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","44.9","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3360,"HC.60","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","44.5","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""Our MCOs calculated this measure, and as such it excludes FFS members."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter Claims."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3361,"HC.60","NE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","35.4","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claims Data.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3362,"HC.60","NV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","39.1","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3363,"HC.60","NV","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","23.7","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Other","","","",161
3364,"HC.60","NH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","34.0","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS members were excluded."" 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."" Rate was audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3365,"HC.60","NJ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","40.1","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3366,"HC.60","NM","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","36.0","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3367,"HC.60","NY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","32.7","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (15 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Billing Data."" Rate was audited or validated. State noted: ""All available age ranges are entered.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3368,"HC.60","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","38.3","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3369,"HC.60","NC","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","21.5","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS and managed care populations (5 MCOs). Rate was 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.""","","0","0","","","1","","","","","","","","","","","","1","Other","","","",161
3370,"HC.60","ND","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","31.4","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3371,"HC.60","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","55.0","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3372,"HC.60","OK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","67.9","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3373,"HC.60","OR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","28.4","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3374,"HC.60","PA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","39.5","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3375,"HC.60","PR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","106.1","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3376,"HC.60","RI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","29.3","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3377,"HC.60","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","38.0","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3378,"HC.60","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","29.4","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3379,"HC.60","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","39.3","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3380,"HC.60","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","41.1","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3381,"HC.60","TX","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","18.7","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes 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."" Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Other","","","",161
3382,"HC.60","UT","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","34.3","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3383,"HC.60","UT","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","12.3","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Other","","","",161
3384,"HC.60","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","36.4","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3385,"HC.60","VA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","40.4","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3386,"HC.60","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","33.8","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes 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 state to report on services for which the state paid or expects to pay. However, since managed care encounter claims may not have amounts on the claim, the state included all encounter claims, but did not include fee-for-service claims with paid amount of zero or less. Specifications instruct to include all paid, suspended, pending, and denied claims when looking for inpatient stays following an ED visit, however, the state currently only uses paid claims and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3387,"HC.60","WV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","44.3","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System.""","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3388,"HC.60","WV","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","27.7","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","0","0","","","1","","","","","","","","","","","","1","Other","","","",161
3389,"HC.60","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","41.0","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3390,"HC.60","WY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","33.9","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3391,"HC.60","MT","","","","","","","","","","","","","","","","2023","","","","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3392,"HC.60","KY","","","","","","","","","","","","","","","","2023","","","","lower","Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19",True,"countFloat","50","36.5","","106.1","22.2","33.8","40.9","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Other","","","",161
3393,"HC.61","AL","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.37","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3394,"HC.61","AL","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.94","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3395,"HC.61","AL","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.442","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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."" State reported the following deviations: ""Many of the attention-deficit/hyperactivity disorder (ADHD) medications are also used in the treatment of narcolepsy. In order to have a precise ADHD measure, children with narcolepsy were removed from the denominator and both indicators as specified under the optional exclusions for this measure.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",473
3396,"HC.61","AL","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.563","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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."" State reported the following deviations: ""Many of the attention-deficit/hyperactivity disorder (ADHD) medications are also used in the treatment of narcolepsy. In order to have a precise ADHD measure, children with narcolepsy were removed from the denominator and both indicators as specified under the optional exclusions for this measure.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",474
3397,"HC.61","AK","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.501","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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 may be some undercount due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3398,"HC.61","AK","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.49","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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 may be some undercount due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3399,"HC.61","AZ","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.576","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3400,"HC.61","AZ","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.666","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3401,"HC.61","AR","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.37","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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 benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3402,"HC.61","AR","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.502","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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 benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3403,"HC.61","CA","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.495","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3404,"HC.61","CA","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.574","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3405,"HC.61","CO","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.405","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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 (2 MCOs). Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",473
3406,"HC.61","CO","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","Denominator is less than 30","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 (2 MCOs). Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",474
3407,"HC.61","CO","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.386","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3408,"HC.61","CO","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.533","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3409,"HC.61","CT","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.484","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3410,"HC.61","CT","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.579","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3411,"HC.61","DE","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.356","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3412,"HC.61","DE","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.502","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3413,"HC.61","DC","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.287","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3414,"HC.61","DC","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.396","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3415,"HC.61","FL","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.467","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3416,"HC.61","FL","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.604","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3417,"HC.61","HI","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.458","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3418,"HC.61","HI","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.506","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3419,"HC.61","ID","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.432","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3420,"HC.61","ID","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.501","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3421,"HC.61","IL","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.302","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3422,"HC.61","IL","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.344","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3423,"HC.61","IN","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.457","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3424,"HC.61","IN","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.539","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3425,"HC.61","IA","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.57","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3426,"HC.61","IA","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.622","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3427,"HC.61","KS","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.453","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3428,"HC.61","KS","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.563","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3429,"HC.61","KY","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.517","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3430,"HC.61","KY","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.605","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3431,"HC.61","LA","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.427","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3432,"HC.61","LA","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.562","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3433,"HC.61","ME","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.596","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3434,"HC.61","ME","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.655","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3435,"HC.61","MD","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.619","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3436,"HC.61","MD","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.179","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3437,"HC.61","MA","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.464","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3438,"HC.61","MA","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.544","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3439,"HC.61","MI","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.425","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee for Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims review only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3440,"HC.61","MI","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.479","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee for Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims review only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3441,"HC.61","MN","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.385","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3442,"HC.61","MN","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.444","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3443,"HC.61","MS","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.5","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3444,"HC.61","MS","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.676","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3445,"HC.61","MO","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.341","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3446,"HC.61","MO","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.428","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3447,"HC.61","NE","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.456","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3448,"HC.61","NE","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.541","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3449,"HC.61","NV","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.478","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3450,"HC.61","NV","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.631","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3451,"HC.61","NV","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.398","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated. State noted: ""Continuation & Maintenance phase rate not reported as the statewide rate aligned with the specifications, but the denominator was too small (<30) to report a valid rate.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",473
3452,"HC.61","NV","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated. State noted: ""Continuation & Maintenance phase rate not reported as the statewide rate aligned with the specifications, but the denominator was too small (<30) to report a valid rate.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",474
3453,"HC.61","NH","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.461","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3454,"HC.61","NH","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.489","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3455,"HC.61","NJ","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.339","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3456,"HC.61","NJ","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.376","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3457,"HC.61","NM","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.379","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3458,"HC.61","NM","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.481","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3459,"HC.61","NY","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.577","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3460,"HC.61","NY","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.642","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3461,"HC.61","NC","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.481","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3462,"HC.61","NC","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.599","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3463,"HC.61","NC","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.441","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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 denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",473
3464,"HC.61","NC","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.575","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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 denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",474
3465,"HC.61","ND","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.379","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3466,"HC.61","ND","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.411","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3467,"HC.61","OH","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.451","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3468,"HC.61","OH","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.56","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3469,"HC.61","OK","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.553","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3470,"HC.61","OK","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.616","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3471,"HC.61","OR","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.513","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3472,"HC.61","OR","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.684","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3473,"HC.61","PA","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.447","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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. State noted: ""CHIP MCOs collect and report this measure through HEDIS for all services. For Medicaid, physical health (PH) MCOs also collect and report this measure through HEDIS. However, due to the separation of PH and behavioral health (BH) services for Medicaid, a methodology was developed to capture BH claims by enhancing the PH data with BH data from the PROMISe Encounter Data system, in order to have a more accurate reporting of follow-up. The rates from the Medicaid PH MCOs and the rates including the BH data are included.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3474,"HC.61","PA","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.53","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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. State noted: ""CHIP MCOs collect and report this measure through HEDIS for all services. For Medicaid, physical health (PH) MCOs also collect and report this measure through HEDIS. However, due to the separation of PH and behavioral health (BH) services for Medicaid, a methodology was developed to capture BH claims by enhancing the PH data with BH data from the PROMISe Encounter Data system, in order to have a more accurate reporting of follow-up. The rates from the Medicaid PH MCOs and the rates including the BH data are included.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3475,"HC.61","PR","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.573","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3476,"HC.61","PR","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.665","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3477,"HC.61","RI","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.481","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3478,"HC.61","RI","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.526","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3479,"HC.61","SC","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.442","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3480,"HC.61","SC","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.584","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3481,"HC.61","SD","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.506","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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. State reported the following deviations: ""Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a PRTF was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3482,"HC.61","SD","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.529","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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. State reported the following deviations: ""Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a PRTF was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3483,"HC.61","TN","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.463","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3484,"HC.61","TN","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.575","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3485,"HC.61","TX","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.426","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3486,"HC.61","TX","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.549","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3487,"HC.61","TX","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.39","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",473
3488,"HC.61","TX","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.581","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",474
3489,"HC.61","UT","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.633","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3490,"HC.61","UT","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.326","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3491,"HC.61","UT","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.39","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",473
3492,"HC.61","UT","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",474
3493,"HC.61","VT","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.645","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3494,"HC.61","VT","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.698","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3495,"HC.61","VA","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.42","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3496,"HC.61","VA","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.519","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3497,"HC.61","WA","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.446","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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 currently only uses paid claims and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3498,"HC.61","WA","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.524","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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 currently only uses paid claims and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3499,"HC.61","WV","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.497","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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). State reported that rates exclude the following populations: ""Medicaid FFS population. Most children in Medicaid FFS are on Aged and Disabled, Intellectual and Developmental Disabilities, or Traumatic Brain Injury waivers."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3500,"HC.61","WV","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.548","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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). State reported that rates exclude the following populations: ""Medicaid FFS population. Most children in Medicaid FFS are on Aged and Disabled, Intellectual and Developmental Disabilities, or Traumatic Brain Injury waivers."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3501,"HC.61","WV","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.414","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",473
3502,"HC.61","WV","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.489","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",474
3503,"HC.61","WI","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.359","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3504,"HC.61","WI","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.401","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3505,"HC.61","WY","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.474","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3506,"HC.61","WY","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3507,"HC.61","MT","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","","","","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3508,"HC.61","GA","Rate","Initiation Phase","1","","","","","","","","","","","","","2023","","","","higher","Percentage Newly Prescribed ADHD Medication with at Least One Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12",True,"percent","50","0.46","","0.645","0.287","0.42","0.501","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",473
3509,"HC.61","MT","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","","","","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3510,"HC.61","GA","Rate","Continuation & Maintenance Phase","1","","","","","","","","","","","","","2023","","","","higher","Percentage Newly Prescribed ADHD Medication with at Least Two Follow-Up Visits in the 9-Month Continuation and Maintenance Phase: Ages 6 to 12",True,"percent","49","0.541","","0.94","0.179","0.49","0.604","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",474
3511,"HC.63","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.596","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3512,"HC.63","AL","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.655","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS population. The state described the ""other"" data source used to calculate the measure as the following: ""Separate CHIP claims data.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
3513,"HC.63","AK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.548","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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 rate from year to year. There might be some undercount due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3514,"HC.63","AZ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.682","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3515,"HC.63","AR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.76","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" Rate was audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical, mental health, and pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3516,"HC.63","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.626","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3517,"HC.63","CO","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.609","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3518,"HC.63","CO","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.658","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
3519,"HC.63","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.798","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3520,"HC.63","DE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.568","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3521,"HC.63","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.752","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3522,"HC.63","FL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.587","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3523,"HC.63","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.584","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3524,"HC.63","HI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.492","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3525,"HC.63","ID","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.582","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3526,"HC.63","IN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.601","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3527,"HC.63","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.622","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3528,"HC.63","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.724","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reported Data."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3529,"HC.63","KY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.645","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3530,"HC.63","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.654","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3531,"HC.63","ME","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.578","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3532,"HC.63","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.681","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3533,"HC.63","MA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.766","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3534,"HC.63","MN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.699","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3535,"HC.63","MS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.609","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3536,"HC.63","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.561","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3537,"HC.63","NE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.588","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claims Data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3538,"HC.63","NV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.582","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3539,"HC.63","NV","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.576","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
3540,"HC.63","NH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.659","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS members were excluded."" 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."" Rate was audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3541,"HC.63","NJ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.664","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3542,"HC.63","NM","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.625","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3543,"HC.63","NY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.727","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (15 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Billing Data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3544,"HC.63","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.44","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3545,"HC.63","NC","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.5","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS and managed care populations (5 MCOs). Rate was 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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
3546,"HC.63","ND","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.565","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3547,"HC.63","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.767","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3548,"HC.63","OK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.555","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3549,"HC.63","PA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.649","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3550,"HC.63","PR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.515","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3551,"HC.63","RI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.622","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3552,"HC.63","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.604","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3553,"HC.63","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.501","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3554,"HC.63","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.579","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3555,"HC.63","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.433","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3556,"HC.63","TX","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.42","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes 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."" Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
3557,"HC.63","UT","","","","","","","","","","","","","","","","2023","Medicaid only","","","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
3558,"HC.63","UT","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","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 rate includes managed care population (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3559,"HC.63","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.678","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3560,"HC.63","VA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.572","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3561,"HC.63","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.574","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes 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 currently only uses paid claims and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3562,"HC.63","WV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.471","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid 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 Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3563,"HC.63","WV","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
3564,"HC.63","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.605","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3565,"HC.63","WY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.681","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3566,"HC.63","OR","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3567,"HC.63","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3568,"HC.63","IL","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3569,"HC.63","MI","","","","","","","","","","","","","","","","2023","","","","higher","Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17",True,"percent","47","0.605","","0.798","0.433","0.572","0.678","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3570,"HC.64","AL","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.978","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3571,"HC.64","AL","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.25","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3572,"HC.64","AL","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.232","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3573,"HC.64","AL","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.813","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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."" State noted: ""There is an increase in these data coming in via claims. The state continued provider education around proper coding for these events.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",475
3574,"HC.64","AL","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.359","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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."" State noted: ""There is an increase in these data coming in via claims. The state continued provider education around proper coding for these events.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",476
3575,"HC.64","AL","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.336","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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."" State noted: ""There is an increase in these data coming in via claims. The state continued provider education around proper coding for these events.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",477
3576,"HC.64","AK","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.06","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3577,"HC.64","AK","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.031","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3578,"HC.64","AK","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.082","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3579,"HC.64","AZ","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.723","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). Denominator is the sample size; measure-eligible population is 466,644. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3580,"HC.64","AZ","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.621","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). Denominator is the sample size; measure-eligible population is 466,644. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3581,"HC.64","AZ","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.583","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). Denominator is the sample size; measure-eligible population is 466,644. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3582,"HC.64","CO","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.222","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3583,"HC.64","CO","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.372","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3584,"HC.64","CO","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.308","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3585,"HC.64","CO","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.282","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",475
3586,"HC.64","CO","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.297","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",476
3587,"HC.64","CO","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.25","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",477
3588,"HC.64","CT","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.835","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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. Denominator is the sample size; measure-eligible population is 225,002. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3589,"HC.64","CT","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.787","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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. Denominator is the sample size; measure-eligible population is 225,002. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3590,"HC.64","CT","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.732","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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. Denominator is the sample size; measure-eligible population is 225,002. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3591,"HC.64","DE","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.872","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). Denominator is the sample size; measure-eligible population is 56,998. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3592,"HC.64","DE","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.811","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). Denominator is the sample size; measure-eligible population is 56,998. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3593,"HC.64","DE","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.799","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). Denominator is the sample size; measure-eligible population is 56,998. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3594,"HC.64","DC","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.771","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 43,325.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3595,"HC.64","DC","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.726","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 43,325.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3596,"HC.64","DC","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.703","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 43,325.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3597,"HC.64","FL","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.838","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 derived using both administrative and hybrid method data. Fee-For-Service, MediKids, Florida Healthy Kids, and Children's Medical Services Health Plan (CMSHP) used hybrid methodology. Ten Medicaid Managed Care plans used the hybrid methodology and three plans reported using the administrative methodology.” Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3598,"HC.64","FL","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.777","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 derived using both administrative and hybrid method data. Fee-For-Service, MediKids, Florida Healthy Kids, and Children's Medical Services Health Plan (CMSHP) used hybrid methodology. Ten Medicaid Managed Care plans used the hybrid methodology and three plans reported using the administrative methodology.” Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3599,"HC.64","FL","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.758","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 derived using both administrative and hybrid method data. Fee-For-Service, MediKids, Florida Healthy Kids, and Children's Medical Services Health Plan (CMSHP) used hybrid methodology. Ten Medicaid Managed Care plans used the hybrid methodology and three plans reported using the administrative methodology.” Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3600,"HC.64","GA","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.813","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Denominator is the sample size; measure-eligible population is 800,262. Rates were audited or validated. State noted: ""The rate is the sum of each MCO's rate weighted by the percent the MCO's eligible population contributes to the total eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3601,"HC.64","GA","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.732","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Denominator is the sample size; measure-eligible population is 800,262. Rates were audited or validated. State noted: ""The rate is the sum of each MCO's rate weighted by the percent the MCO's eligible population contributes to the total eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3602,"HC.64","GA","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.712","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Denominator is the sample size; measure-eligible population is 800,262. Rates were audited or validated. State noted: ""The rate is the sum of each MCO's rate weighted by the percent the MCO's eligible population contributes to the total eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3603,"HC.64","HI","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.795","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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."" Rates were derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3604,"HC.64","HI","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.758","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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."" Rates were derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3605,"HC.64","HI","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.74","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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."" Rates were derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3606,"HC.64","IL","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.275","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3607,"HC.64","IL","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.192","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3608,"HC.64","IL","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.167","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3609,"HC.64","IN","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.616","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 derived using both administrative and hybrid method data. The measure-eligible population is 418,518. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3610,"HC.64","IN","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.635","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 derived using both administrative and hybrid method data. The measure-eligible population is 418,518. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3611,"HC.64","IN","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.569","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 derived using both administrative and hybrid method data. The measure-eligible population is 418,518. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3612,"HC.64","KS","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.753","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 Reported Data."" Denominator is the sample size; measure-eligible population is 108,410. Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3613,"HC.64","KS","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.628","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 Reported Data."" Denominator is the sample size; measure-eligible population is 108,410. Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3614,"HC.64","KS","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.605","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 Reported Data."" Denominator is the sample size; measure-eligible population is 108,410. Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3615,"HC.64","KY","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.82","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). Denominator is the sample size; measure-eligible population is 367,272. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3616,"HC.64","KY","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.627","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). Denominator is the sample size; measure-eligible population is 367,272. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3617,"HC.64","KY","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.613","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). Denominator is the sample size; measure-eligible population is 367,272. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3618,"HC.64","LA","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.722","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). Denominator is the sample size; measure-eligible population is 446,008. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3619,"HC.64","LA","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.625","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). Denominator is the sample size; measure-eligible population is 446,008. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3620,"HC.64","LA","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.555","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). Denominator is the sample size; measure-eligible population is 446,008. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3621,"HC.64","ME","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.098","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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."" State noted: ""Because the code set used for the measure may not be widely used in claims, measure results may be inaccurate.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3622,"HC.64","ME","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.042","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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."" State noted: ""Because the code set used for the measure may not be widely used in claims, measure results may be inaccurate.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3623,"HC.64","ME","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.012","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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."" State noted: ""Because the code set used for the measure may not be widely used in claims, measure results may be inaccurate.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3624,"HC.64","MD","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.793","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Denominator is the sample size; measure-eligible population is 397,661. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3625,"HC.64","MD","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.735","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Denominator is the sample size; measure-eligible population is 397,661. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3626,"HC.64","MD","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.708","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Denominator is the sample size; measure-eligible population is 397,661. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3627,"HC.64","MA","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.815","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3628,"HC.64","MA","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.761","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3629,"HC.64","MA","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.713","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3630,"HC.64","MI","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.822","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Denominator is the sample size; measure-eligible population is 487,112. Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3631,"HC.64","MI","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.725","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Denominator is the sample size; measure-eligible population is 487,112. Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3632,"HC.64","MI","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.703","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Denominator is the sample size; measure-eligible population is 487,112. Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3633,"HC.64","MN","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.074","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3634,"HC.64","MN","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.019","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3635,"HC.64","MN","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.016","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3636,"HC.64","MS","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.622","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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."" Sample size is 2,055; measure-eligible population is 160,425.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3637,"HC.64","MS","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.488","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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."" Sample size is 2,055; measure-eligible population is 160,425.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3638,"HC.64","MS","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.466","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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."" Sample size is 2,055; measure-eligible population is 160,425.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3639,"HC.64","MO","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.581","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Rates were derived using both administrative and hybrid method data. The measure-eligible population is 313,902. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3640,"HC.64","MO","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.426","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Rates were derived using both administrative and hybrid method data. The measure-eligible population is 313,902. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3641,"HC.64","MO","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.366","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Rates were derived using both administrative and hybrid method data. The measure-eligible population is 313,902. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3642,"HC.64","NE","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.686","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 Claim System."" Denominator is the sample size; measure-eligible population is 69,439.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3643,"HC.64","NE","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.669","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 Claim System."" Denominator is the sample size; measure-eligible population is 69,439.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3644,"HC.64","NE","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.664","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 Claim System."" Denominator is the sample size; measure-eligible population is 69,439.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3645,"HC.64","NV","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.794","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). Denominator is the sample size; measure-eligible population is 127,145. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3646,"HC.64","NV","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.728","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). Denominator is the sample size; measure-eligible population is 127,145. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3647,"HC.64","NV","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.685","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). Denominator is the sample size; measure-eligible population is 127,145. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3648,"HC.64","NV","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","CHIP only","Administrative & Hybrid","0.745","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",475
3649,"HC.64","NV","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","CHIP only","Administrative & Hybrid","0.676","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",476
3650,"HC.64","NV","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","CHIP only","Administrative & Hybrid","0.644","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",477
3651,"HC.64","NH","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.731","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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."" 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."" Denominator is the sample size; measure-eligible population is 56,782. Rates were audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3652,"HC.64","NH","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.711","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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."" 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."" Denominator is the sample size; measure-eligible population is 56,782. Rates were audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3653,"HC.64","NH","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.655","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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."" 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."" Denominator is the sample size; measure-eligible population is 56,782. Rates were audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3654,"HC.64","NJ","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.837","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 309,265. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3655,"HC.64","NJ","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.793","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 309,265. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3656,"HC.64","NJ","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.76","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 309,265. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3657,"HC.64","NM","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.724","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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."" Denominator is the sample size; measure-eligible population is 172,641. Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3658,"HC.64","NM","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.595","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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."" Denominator is the sample size; measure-eligible population is 172,641. Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3659,"HC.64","NM","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.564","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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."" Denominator is the sample size; measure-eligible population is 172,641. Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3660,"HC.64","NY","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.852","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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."" Denominator is the sample size; measure-eligible population is 1,487,560. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3661,"HC.64","NY","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.823","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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."" Denominator is the sample size; measure-eligible population is 1,487,560. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3662,"HC.64","NY","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.782","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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."" Denominator is the sample size; measure-eligible population is 1,487,560. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3663,"HC.64","NC","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.599","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Additional BMI measurement data was obtained from NC Health Information Exchange Authority."" Rates were audited or validated. State noted: ""The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3664,"HC.64","NC","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.246","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Additional BMI measurement data was obtained from NC Health Information Exchange Authority."" Rates were audited or validated. State noted: ""The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3665,"HC.64","NC","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.116","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Additional BMI measurement data was obtained from NC Health Information Exchange Authority."" Rates were audited or validated. State noted: ""The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3666,"HC.64","NC","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.612","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Information Exchange."" Rates were audited or validated. State noted: ""North Carolina Health Choice Children includes ages 6 through 18. The denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",475
3667,"HC.64","NC","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.255","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Information Exchange."" Rates were audited or validated. State noted: ""North Carolina Health Choice Children includes ages 6 through 18. The denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",476
3668,"HC.64","NC","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.135","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Information Exchange."" Rates were audited or validated. State noted: ""North Carolina Health Choice Children includes ages 6 through 18. The denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",477
3669,"HC.64","ND","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.059","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3670,"HC.64","ND","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.01","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3671,"HC.64","ND","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.065","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3672,"HC.64","OH","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.759","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" Denominator is the sample size; measure-eligible population is 665,139. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3673,"HC.64","OH","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.624","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" Denominator is the sample size; measure-eligible population is 665,139. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3674,"HC.64","OH","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.532","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 hybrid method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" Denominator is the sample size; measure-eligible population is 665,139. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3675,"HC.64","OK","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.135","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3676,"HC.64","OK","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.049","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3677,"HC.64","OK","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.048","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3678,"HC.64","PA","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.836","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3679,"HC.64","PA","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.764","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3680,"HC.64","PA","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.743","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3681,"HC.64","PR","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.374","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3682,"HC.64","PR","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.294","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3683,"HC.64","PR","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.176","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3684,"HC.64","RI","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.902","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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)."" Denominator is the sample size; measure-eligible population is 64,816. Rates were audited or validated. State noted: ""The denominator is the sum of samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3685,"HC.64","RI","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.84","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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)."" Denominator is the sample size; measure-eligible population is 64,816. Rates were audited or validated. State noted: ""The denominator is the sum of samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3686,"HC.64","RI","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.827","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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)."" Denominator is the sample size; measure-eligible population is 64,816. Rates were audited or validated. State noted: ""The denominator is the sum of samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3687,"HC.64","SC","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.713","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). Sample size is 1,808; measure-eligible population is 232,219. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3688,"HC.64","SC","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.419","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). Sample size is 1,808; measure-eligible population is 232,219. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3689,"HC.64","SC","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.578","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). Sample size is 1,808; measure-eligible population is 232,219. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3690,"HC.64","TN","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.832","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). Sample size is 2,412; measure-eligible population is 883,988. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3691,"HC.64","TN","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.742","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). Sample size is 2,412; measure-eligible population is 883,988. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3692,"HC.64","TN","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.693","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). Sample size is 2,412; measure-eligible population is 883,988. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3693,"HC.64","TX","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.786","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 (16 MCOs). State reported that rates exclude the following populations: ""State of Texas Access Reform (STAR) Health and FFS, which make up only a small portion of the overall eligible population."" 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."" Denominator is the sample size; measure-eligible population is 2,236,820. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3694,"HC.64","TX","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.748","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 (16 MCOs). State reported that rates exclude the following populations: ""State of Texas Access Reform (STAR) Health and FFS, which make up only a small portion of the overall eligible population."" 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."" Denominator is the sample size; measure-eligible population is 2,236,820. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3695,"HC.64","TX","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.727","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 (16 MCOs). State reported that rates exclude the following populations: ""State of Texas Access Reform (STAR) Health and FFS, which make up only a small portion of the overall eligible population."" 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."" Denominator is the sample size; measure-eligible population is 2,236,820. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3696,"HC.64","TX","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.793","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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."" Denominator is the sample size; measure-eligible population is 23,510. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",475
3697,"HC.64","TX","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.761","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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."" Denominator is the sample size; measure-eligible population is 23,510. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",476
3698,"HC.64","TX","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.748","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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."" Denominator is the sample size; measure-eligible population is 23,510. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",477
3699,"HC.64","UT","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.735","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records."" Denominator is the sample size; measure-eligible population is 93,677. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3700,"HC.64","UT","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.623","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records."" Denominator is the sample size; measure-eligible population is 93,677. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3701,"HC.64","UT","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.553","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records."" Denominator is the sample size; measure-eligible population is 93,677. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3702,"HC.64","UT","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.726","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records."" Denominator is the sample size; measure-eligible population is 2,691. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",475
3703,"HC.64","UT","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.629","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records."" Denominator is the sample size; measure-eligible population is 2,691. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",476
3704,"HC.64","UT","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.575","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records."" Denominator is the sample size; measure-eligible population is 2,691. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",477
3705,"HC.64","VT","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.703","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). Denominator is the sample size; measure-eligible population is 42,400. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3706,"HC.64","VT","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.669","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). Denominator is the sample size; measure-eligible population is 42,400. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3707,"HC.64","VT","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.647","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). Denominator is the sample size; measure-eligible population is 42,400. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3708,"HC.64","VA","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.69","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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). State reported that rates exclude the following populations: ""The denominator represents the state NCQA Quality Compass HEDIS rates and excludes the fee-for-service population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the hybrid methodology."" Sample size and measure-eligible population are not available. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3709,"HC.64","VA","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.638","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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). State reported that rates exclude the following populations: ""The denominator represents the state NCQA Quality Compass HEDIS rates and excludes the fee-for-service population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the hybrid methodology."" Sample size and measure-eligible population are not available. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3710,"HC.64","VA","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.58","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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). State reported that rates exclude the following populations: ""The denominator represents the state NCQA Quality Compass HEDIS rates and excludes the fee-for-service population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the hybrid methodology."" Sample size and measure-eligible population are not available. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3711,"HC.64","WA","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.756","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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: ""The denominator is based on Managed Care Plan data. State did not include FFS, PCCM, and managed care clients who meet the continuous eligibility requirement for Medicaid/CHIP but who were not enrolled in a single plan during the continuous eligibility enrollment, or who switched between FFS and Managed Care. HEDIS plan data were used because these data cannot be accurately captured using administrative MMIS data. Since most of our clients are enrolled in managed care (94.5%), it is largely representative of our caseload."" The state noted: ""The measure eligible populations for each reporting unit were used to weight the rates."" Denominator is the sample size; measure-eligible population is 419,091. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3712,"HC.64","WA","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.659","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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: ""The denominator is based on Managed Care Plan data. State did not include FFS, PCCM, and managed care clients who meet the continuous eligibility requirement for Medicaid/CHIP but who were not enrolled in a single plan during the continuous eligibility enrollment, or who switched between FFS and Managed Care. HEDIS plan data were used because these data cannot be accurately captured using administrative MMIS data. Since most of our clients are enrolled in managed care (94.5%), it is largely representative of our caseload."" The state noted: ""The measure eligible populations for each reporting unit were used to weight the rates."" Denominator is the sample size; measure-eligible population is 419,091. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3713,"HC.64","WA","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.625","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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: ""The denominator is based on Managed Care Plan data. State did not include FFS, PCCM, and managed care clients who meet the continuous eligibility requirement for Medicaid/CHIP but who were not enrolled in a single plan during the continuous eligibility enrollment, or who switched between FFS and Managed Care. HEDIS plan data were used because these data cannot be accurately captured using administrative MMIS data. Since most of our clients are enrolled in managed care (94.5%), it is largely representative of our caseload."" The state noted: ""The measure eligible populations for each reporting unit were used to weight the rates."" Denominator is the sample size; measure-eligible population is 419,091. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3714,"HC.64","WV","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.595","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 admission but the age groups were defined by end of measurement period.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3715,"HC.64","WV","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.342","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 admission but the age groups were defined by end of measurement period.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3716,"HC.64","WV","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.33","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 admission but the age groups were defined by end of measurement period.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3717,"HC.64","WV","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.614","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 (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 adjustment: The age groups were defined by end of measurement period.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",475
3718,"HC.64","WV","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.337","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 (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 adjustment: The age groups were defined by end of measurement period.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",476
3719,"HC.64","WV","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.333","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 (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 adjustment: The age groups were defined by end of measurement period.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",477
3720,"HC.64","WI","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.777","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rates were derived using both administrative and hybrid method data. Two out of 14 HMO plans used the administrative method and 12 out of 14 HMO plans used the hybrid method. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3721,"HC.64","WI","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.654","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rates were derived using both administrative and hybrid method data. Two out of 14 HMO plans used the administrative method and 12 out of 14 HMO plans used the hybrid method. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3722,"HC.64","WI","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.599","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rates were derived using both administrative and hybrid method data. Two out of 14 HMO plans used the administrative method and 12 out of 14 HMO plans used the hybrid method. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3723,"HC.64","WY","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.077","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3724,"HC.64","WY","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.059","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3725,"HC.64","WY","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.1","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3726,"HC.64","OR","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3727,"HC.64","SD","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3728,"HC.64","MT","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3729,"HC.64","AR","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3730,"HC.64","CA","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3731,"HC.64","IA","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3732,"HC.64","ID","Rate","Body Mass Index Percentile Documentation","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Body Mass Index Percentile Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.735","","0.978","0.059","0.599","0.815","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",475
3733,"HC.64","OR","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3734,"HC.64","SD","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3735,"HC.64","MT","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3736,"HC.64","AR","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3737,"HC.64","CA","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3738,"HC.64","IA","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3739,"HC.64","ID","Rate","Counseling for Nutrition","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Nutrition Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.635","","0.84","0.01","0.372","0.735","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",476
3740,"HC.64","OR","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3741,"HC.64","SD","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3742,"HC.64","MT","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3743,"HC.64","AR","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3744,"HC.64","CA","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3745,"HC.64","IA","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3746,"HC.64","ID","Rate","Counseling for Physical Activity","1","","","","","","","","","","","","","2023","","","","higher","Percentage with an Outpatient Visit and Counseling for Physical Activity Documented in the Medical Record: Ages 3 to 17",True,"percent","45","0.599","","0.827","0.012","0.33","0.708","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",477
3747,"HC.65","AL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.139","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 noted: ""Rate increase year-over-year is due to extended observation period for postpartum visit. There is a notable increase in the denominators for the CCP measure in this year's reporting because recipients in the state's Family Planning program maintained eligibility. This continued eligibility allowed this population to meet the minimum months eligibility requirements for denominator compliance.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3748,"HC.65","AL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.521","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 noted: ""Rate increase year-over-year is due to extended observation period for postpartum visit. There is a notable increase in the denominators for the CCP measure in this year's reporting because recipients in the state's Family Planning program maintained eligibility. This continued eligibility allowed this population to meet the minimum months eligibility requirements for denominator compliance.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3749,"HC.65","AL","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.022","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 noted: ""Rate increase year-over-year is due to extended observation period for postpartum visit. There is a notable increase in the denominators for the CCP measure in this year's reporting because recipients in the state's Family Planning program maintained eligibility. This continued eligibility allowed this population to meet the minimum months eligibility requirements for denominator compliance.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3750,"HC.65","AL","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.118","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 noted: ""Rate increase year-over-year is due to extended observation period for postpartum visit. There is a notable increase in the denominators for the CCP measure in this year's reporting because recipients in the state's Family Planning program maintained eligibility. This continued eligibility allowed this population to meet the minimum months eligibility requirements for denominator compliance.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3751,"HC.65","AZ","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.083","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3752,"HC.65","AZ","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.378","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3753,"HC.65","AZ","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.012","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3754,"HC.65","AZ","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.124","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3755,"HC.65","AR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.122","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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). Rates also include ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical or family planning only services benefits. Services in Arkansas Medicaid bill as part of maternity global billing, making it difficult to identify individual visits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3756,"HC.65","AR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.423","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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). Rates also include ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical or family planning only services benefits. Services in Arkansas Medicaid bill as part of maternity global billing, making it difficult to identify individual visits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3757,"HC.65","AR","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.014","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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). Rates also include ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical or family planning only services benefits. Services in Arkansas Medicaid bill as part of maternity global billing, making it difficult to identify individual visits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3758,"HC.65","AR","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.103","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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). Rates also include ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical or family planning only services benefits. Services in Arkansas Medicaid bill as part of maternity global billing, making it difficult to identify individual visits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3759,"HC.65","CA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.099","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3760,"HC.65","CA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.383","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3761,"HC.65","CA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.023","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3762,"HC.65","CA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.126","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3763,"HC.65","CO","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.084","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3764,"HC.65","CO","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.346","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3765,"HC.65","CO","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.02","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3766,"HC.65","CO","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.152","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3767,"HC.65","CT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.14","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3768,"HC.65","CT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.473","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3769,"HC.65","CT","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.053","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3770,"HC.65","CT","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.166","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3771,"HC.65","DE","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.212","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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). State reported that rates exclude the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3772,"HC.65","DE","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.504","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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). State reported that rates exclude the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3773,"HC.65","DE","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.076","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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). State reported that rates exclude the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3774,"HC.65","DE","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.162","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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). State reported that rates exclude the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3775,"HC.65","DC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.124","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3776,"HC.65","DC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.358","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3777,"HC.65","DC","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.03","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3778,"HC.65","DC","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.1","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3779,"HC.65","FL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.1","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 (13 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3780,"HC.65","FL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.31","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 (13 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3781,"HC.65","FL","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.009","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 (13 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3782,"HC.65","FL","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.062","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 (13 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3783,"HC.65","HI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.106","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3784,"HC.65","HI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.398","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3785,"HC.65","HI","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.039","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3786,"HC.65","HI","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.15","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3787,"HC.65","ID","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.064","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3788,"HC.65","ID","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.428","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3789,"HC.65","ID","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.002","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3790,"HC.65","ID","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.17","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3791,"HC.65","IL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.099","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3792,"HC.65","IL","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.402","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3793,"HC.65","IL","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.031","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3794,"HC.65","IL","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.145","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3795,"HC.65","IN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.105","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3796,"HC.65","IN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3797,"HC.65","IN","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3798,"HC.65","IN","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3799,"HC.65","KS","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.051","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3800,"HC.65","KS","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.429","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3801,"HC.65","KS","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.01","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3802,"HC.65","KS","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.136","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3803,"HC.65","LA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.125","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3804,"HC.65","LA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.511","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3805,"HC.65","LA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.031","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3806,"HC.65","LA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.135","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3807,"HC.65","ME","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.11","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3808,"HC.65","ME","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.441","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3809,"HC.65","ME","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.024","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3810,"HC.65","ME","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.163","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3811,"HC.65","MA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.154","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3812,"HC.65","MA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.546","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3813,"HC.65","MA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.048","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3814,"HC.65","MA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.21","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3815,"HC.65","MI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.117","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3816,"HC.65","MI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.418","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3817,"HC.65","MI","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.016","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3818,"HC.65","MI","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.11","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3819,"HC.65","MN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.077","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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: ""Rates include paid and denied claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3820,"HC.65","MN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.382","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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: ""Rates include paid and denied claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3821,"HC.65","MN","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.01","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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: ""Rates include paid and denied claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3822,"HC.65","MN","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.147","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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: ""Rates include paid and denied claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3823,"HC.65","MS","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.119","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3824,"HC.65","MS","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.463","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3825,"HC.65","MS","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.006","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3826,"HC.65","MS","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.086","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3827,"HC.65","MO","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.104","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3828,"HC.65","MO","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.427","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3829,"HC.65","MO","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.019","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3830,"HC.65","MO","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.124","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3831,"HC.65","NE","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.089","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3832,"HC.65","NE","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.387","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3833,"HC.65","NE","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.009","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3834,"HC.65","NE","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.14","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3835,"HC.65","NV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.092","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3836,"HC.65","NV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.36","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3837,"HC.65","NV","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.003","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3838,"HC.65","NV","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.088","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3839,"HC.65","NH","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.109","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3840,"HC.65","NH","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.465","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3841,"HC.65","NH","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.012","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3842,"HC.65","NH","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.172","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3843,"HC.65","NJ","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.078","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3844,"HC.65","NJ","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.404","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3845,"HC.65","NJ","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.002","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3846,"HC.65","NJ","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.086","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3847,"HC.65","NY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.124","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 (36 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3848,"HC.65","NY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.446","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 (36 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3849,"HC.65","NY","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.045","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 (36 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3850,"HC.65","NY","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.144","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 (36 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3851,"HC.65","NC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.146","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3852,"HC.65","NC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.471","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3853,"HC.65","NC","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.032","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3854,"HC.65","NC","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.149","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3855,"HC.65","ND","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.063","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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: ""MCO population is not included in the rate due to differing technical specifications through their data vendor."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3856,"HC.65","ND","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.394","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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: ""MCO population is not included in the rate due to differing technical specifications through their data vendor."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3857,"HC.65","ND","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","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 PCCM populations. State reported that rates exclude the following populations: ""MCO population is not included in the rate due to differing technical specifications through their data vendor."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3858,"HC.65","ND","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.119","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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: ""MCO population is not included in the rate due to differing technical specifications through their data vendor."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3859,"HC.65","OK","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.115","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3860,"HC.65","OK","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.437","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3861,"HC.65","OK","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.015","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3862,"HC.65","OK","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.107","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3863,"HC.65","PA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.19","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3864,"HC.65","PA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.496","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3865,"HC.65","PA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.059","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3866,"HC.65","PA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.147","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3867,"HC.65","PR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.227","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3868,"HC.65","PR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.282","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3869,"HC.65","PR","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","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 (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3870,"HC.65","PR","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.01","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3871,"HC.65","SC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.157","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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). State noted: ""The denominator includes the CHIP population. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3872,"HC.65","SC","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.466","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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). State noted: ""The denominator includes the CHIP population. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3873,"HC.65","SC","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.046","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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). State noted: ""The denominator includes the CHIP population. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3874,"HC.65","SC","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.133","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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). State noted: ""The denominator includes the CHIP population. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3875,"HC.65","SD","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.122","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3876,"HC.65","SD","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.428","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3877,"HC.65","SD","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.033","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3878,"HC.65","SD","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.168","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3879,"HC.65","TN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.115","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3880,"HC.65","TN","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.458","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3881,"HC.65","TN","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.025","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3882,"HC.65","TN","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.161","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3883,"HC.65","TX","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.111","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3884,"HC.65","TX","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.435","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3885,"HC.65","TX","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.008","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3886,"HC.65","TX","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid","Administrative","0.138","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3887,"HC.65","WA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.08","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 women with dual Medicaid/Medicare eligibility and/or full third-party liability."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state currently only uses paid claims and denied lines from otherwise accepted encounters. State used Generic Product Identifiers (GPI) to identify all applicable National Drug Codes (NDC) for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception. State used only procedure code dates for delivery dates and did not use the ICD-10 codes in table CCP-A. State did not use 59400 to identify births if it was paired with a diagnosis code for encounter for supervision of a normal pregnancy of less than 19 weeks gestation.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3888,"HC.65","WA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.405","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 women with dual Medicaid/Medicare eligibility and/or full third-party liability."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state currently only uses paid claims and denied lines from otherwise accepted encounters. State used Generic Product Identifiers (GPI) to identify all applicable National Drug Codes (NDC) for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception. State used only procedure code dates for delivery dates and did not use the ICD-10 codes in table CCP-A. State did not use 59400 to identify births if it was paired with a diagnosis code for encounter for supervision of a normal pregnancy of less than 19 weeks gestation.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3889,"HC.65","WA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.009","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 women with dual Medicaid/Medicare eligibility and/or full third-party liability."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state currently only uses paid claims and denied lines from otherwise accepted encounters. State used Generic Product Identifiers (GPI) to identify all applicable National Drug Codes (NDC) for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception. State used only procedure code dates for delivery dates and did not use the ICD-10 codes in table CCP-A. State did not use 59400 to identify births if it was paired with a diagnosis code for encounter for supervision of a normal pregnancy of less than 19 weeks gestation.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3890,"HC.65","WA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.17","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 women with dual Medicaid/Medicare eligibility and/or full third-party liability."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state currently only uses paid claims and denied lines from otherwise accepted encounters. State used Generic Product Identifiers (GPI) to identify all applicable National Drug Codes (NDC) for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception. State used only procedure code dates for delivery dates and did not use the ICD-10 codes in table CCP-A. State did not use 59400 to identify births if it was paired with a diagnosis code for encounter for supervision of a normal pregnancy of less than 19 weeks gestation.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3891,"HC.65","WV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.16","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3892,"HC.65","WV","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.484","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3893,"HC.65","WV","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.025","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3894,"HC.65","WV","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.106","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3895,"HC.65","WY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.1","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3896,"HC.65","WY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.259","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3897,"HC.65","WY","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3898,"HC.65","WY","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.151","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3899,"HC.65","AK","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3900,"HC.65","NM","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3901,"HC.65","OH","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3902,"HC.65","OR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3903,"HC.65","RI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3904,"HC.65","UT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3905,"HC.65","VA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3906,"HC.65","VT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3907,"HC.65","WI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3908,"HC.65","MT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3909,"HC.65","GA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3910,"HC.65","IA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3911,"HC.65","KY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3912,"HC.65","MD","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","38","0.111","","0.227","0.051","0.092","0.125","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",467
3913,"HC.65","AK","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3914,"HC.65","NM","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3915,"HC.65","OH","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3916,"HC.65","OR","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3917,"HC.65","RI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3918,"HC.65","UT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3919,"HC.65","VA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3920,"HC.65","VT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3921,"HC.65","WI","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3922,"HC.65","MT","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3923,"HC.65","GA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3924,"HC.65","IA","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3925,"HC.65","KY","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3926,"HC.65","MD","Method of Contraception","Most or Moderately Effective Contraceptive","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Most Effective or Moderately Effective Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.428","","0.546","0.259","0.387","0.465","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",468
3927,"HC.65","AK","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3928,"HC.65","NM","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3929,"HC.65","OH","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3930,"HC.65","OR","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3931,"HC.65","RI","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3932,"HC.65","UT","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3933,"HC.65","VA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3934,"HC.65","VT","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3935,"HC.65","WI","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3936,"HC.65","MT","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3937,"HC.65","GA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3938,"HC.65","IA","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3939,"HC.65","KY","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3940,"HC.65","MD","Method of Contraception","LARC","1","Days Postpartum","3-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 21 to 44",True,"percent","34","0.021","","0.076","0.002","0.01","0.032","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",469
3941,"HC.65","AK","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3942,"HC.65","NM","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3943,"HC.65","OH","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3944,"HC.65","OR","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3945,"HC.65","RI","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3946,"HC.65","UT","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3947,"HC.65","VA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3948,"HC.65","VT","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3949,"HC.65","WI","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3950,"HC.65","MT","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3951,"HC.65","GA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3952,"HC.65","IA","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3953,"HC.65","KY","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3954,"HC.65","MD","Method of Contraception","LARC","1","Days Postpartum","90-Days Postpartum","1","","","","","","","","","","2023","","","","higher","Percentage of Postpartum Women with a Live Birth Provided a Long-Acting Reversible Method of Contraception Within 90 Days of Delivery: Ages 21 to 44",True,"percent","37","0.138","","0.21","0.01","0.11","0.152","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",470
3955,"HC.66","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.453","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3956,"HC.66","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Hybrid","0.525","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Denominator is the sample size; measure-eligible population is 468,781. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3957,"HC.66","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.428","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that the rate excludes the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""State implemented the optional exclusion. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3958,"HC.66","CA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative & Hybrid","0.543","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rate was derived using both administrative and hybrid method data. Forty-nine managed care plan reporting units used the hybrid methodology. Administrative data were used for 7 managed care reporting units and the FFS delivery system. Denominator is the measure-eligible population. Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3959,"HC.66","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.34","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3960,"HC.66","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.62","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Denominator is the sample size; measure-eligible population is 214,393. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3961,"HC.66","DE","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.517","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (2 MCOs). State reported that the rate excludes the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Denominator is the sample size; measure-eligible population is 50,208. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3962,"HC.66","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.497","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 62,908. State noted: ""Only data on the managed care population (ages 18 to 64) were available for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3963,"HC.66","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative & Hybrid","0.56","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: "" Data submitted by health plans."" Rate was derived using both administrative and hybrid method data. Eleven plans reported using the hybrid methodology. One plan reported using the administrative methodology. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3964,"HC.66","GA","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.602","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Denominator is the sample size; measure-eligible population is 283,404. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3965,"HC.66","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative & Hybrid","0.543","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans."" Rate was derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 103,837. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3966,"HC.66","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.466","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3967,"HC.66","IN","","","","","","","","","","","","","","","","2023","Medicaid","Administrative & Hybrid","0.248","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was derived using both administrative and hybrid method data. Five health plans used hybrid data. FFS used administrative claims data. The measure-eligible population is 414,068.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3968,"HC.66","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.454","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3969,"HC.66","KS","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.6","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Denominator is the sample size; measure-eligible population is 70,417. Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3970,"HC.66","KY","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.506","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Denominator is the sample size; measure-eligible population is 349,838. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3971,"HC.66","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.565","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 410,419. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3972,"HC.66","ME","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.455","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations. State reported the following deviations: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3973,"HC.66","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.586","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). State reported that the rate excludes the following populations: ""The Medicare and Medicaid Dually-Eligible Population are carved out of managed care."" Denominator is the sample size; measure-eligible population is 355,861. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3974,"HC.66","MA","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.655","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3975,"HC.66","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.529","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3976,"HC.66","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.515","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3977,"HC.66","MS","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.543","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Denominator is the sample size; measure-eligible population is 40,452.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3978,"HC.66","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.356","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3979,"HC.66","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.599","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claims Data."" Denominator is the sample size; measure-eligible population is 62,501.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3980,"HC.66","NH","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.543","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" Denominator is the sample size; measure-eligible population is 44,339. Rate was audited or validated. State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3981,"HC.66","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative & Hybrid","0.586","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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 two MCOs. HEDIS measurement year 2022 hybrid collection method submitted by three MCOs."" The measure-eligible population is 399,876. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3982,"HC.66","NM","","","","","","","","","","","","","","","","2023","Medicaid","Administrative & Hybrid","0.465","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rate was derived using both administrative and hybrid method data. The measure-eligible population is 192,252. Rate was audited or validated. State noted: ""The final reported rate for measure CCS was weighted due to one MCO reporting this measure as Administrative HEDIS data and two reporting Hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3983,"HC.66","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.534","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (60 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3984,"HC.66","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.385","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3985,"HC.66","ND","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.285","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3986,"HC.66","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.593","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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 hybrid or administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" The measure-eligible population is 663,967. State noted: ""For four plans, the denominator represents a systematic sample drawn from the eligible population; numerator includes documentation of cervical cancer screening in medical records. For one plan, the results were calculated using claims/administrative data to include results for the entire denominator population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3987,"HC.66","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.349","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3988,"HC.66","OR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.439","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3989,"HC.66","PA","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.584","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3990,"HC.66","PR","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.471","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3991,"HC.66","RI","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.655","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Denominator is the sample size; measure-eligible population is 81,859. Rate was audited or validated. State noted: ""The denominator is the sum of the samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3992,"HC.66","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.587","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 146,734. State noted: ""The denominator includes the CHIP population. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3993,"HC.66","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.321","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3994,"HC.66","TN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Hybrid","0.551","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3995,"HC.66","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative & Hybrid","0.557","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was derived using both administrative and hybrid method data. For FFY 2023 CCS-AD, State of Texas Access Reform (STAR)+PLUS program used hybrid collection method, while STAR and FFS contributed administrative data. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3996,"HC.66","UT","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.523","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics Medical Records: Both EHR and Paper."" Denominator is the sample size; measure-eligible population is 37,503. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3997,"HC.66","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.497","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3998,"HC.66","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.453","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
3999,"HC.66","WV","","","","","","","","","","","","","","","","2023","Medicaid","Hybrid","0.499","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4000,"HC.66","WI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative & Hybrid","0.666","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""One HMO reported using the administrative data collection method for this measure. Thirteen HMOs reported using the hybrid data collection method for this measure."" Rate was derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4001,"HC.66","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.316","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4002,"HC.66","AK","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4003,"HC.66","NV","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4004,"HC.66","VA","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4005,"HC.66","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4006,"HC.66","ID","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Women Screened for Cervical Cancer: Ages 21 to 64",True,"percent","47","0.523","","0.666","0.248","0.453","0.584","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4007,"HC.67","AL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4008,"HC.67","AL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.375","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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. Rates were audited or validated. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4009,"HC.67","AZ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.352","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4010,"HC.67","AZ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4011,"HC.67","AR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.149","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and mental health benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4012,"HC.67","AR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.256","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and mental health benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4013,"HC.67","CA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.214","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4014,"HC.67","CA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.311","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4015,"HC.67","CO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.291","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4016,"HC.67","CO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.398","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4017,"HC.67","CT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.362","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4018,"HC.67","CT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.507","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4019,"HC.67","DE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.2","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4020,"HC.67","DE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.306","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4021,"HC.67","DC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.426","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4022,"HC.67","DC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.546","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4023,"HC.67","FL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.171","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated. State noted: ""The Ages 18 to 64 rate includes individuals aged 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4024,"HC.67","FL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.268","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated. State noted: ""The Ages 18 to 64 rate includes individuals aged 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4025,"HC.67","GA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.172","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4026,"HC.67","GA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.251","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4027,"HC.67","HI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.295","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4028,"HC.67","HI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.431","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4029,"HC.67","IL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.03","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4030,"HC.67","IL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.039","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4031,"HC.67","IN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.272","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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). State reported the following deviations: ""Combined rate for age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4032,"HC.67","IN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.386","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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). State reported the following deviations: ""Combined rate for age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4033,"HC.67","IA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.572","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4034,"HC.67","IA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.663","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4035,"HC.67","KS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.295","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 Reports."" Rates are provisional. State reported the following deviations: ""Kansas did not stratify by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4036,"HC.67","KS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.427","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 Reports."" Rates are provisional. State reported the following deviations: ""Kansas did not stratify by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4037,"HC.67","KY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.282","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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. State reported the following deviations: ""The rates include ages 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4038,"HC.67","KY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.416","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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. State reported the following deviations: ""The rates include ages 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4039,"HC.67","LA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.173","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4040,"HC.67","LA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.285","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4041,"HC.67","ME","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.386","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4042,"HC.67","ME","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.513","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4043,"HC.67","MD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.431","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4044,"HC.67","MD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.616","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4045,"HC.67","MA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.431","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4046,"HC.67","MA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.561","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4047,"HC.67","MI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.276","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4048,"HC.67","MI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.426","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4049,"HC.67","MN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.327","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4050,"HC.67","MN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.455","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4051,"HC.67","MS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.149","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4052,"HC.67","MS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4053,"HC.67","MO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.209","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4054,"HC.67","MO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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 30 Days of the ED Visit: Ages 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4055,"HC.67","NE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.287","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4056,"HC.67","NE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.437","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4057,"HC.67","NV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.2","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4058,"HC.67","NV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.291","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4059,"HC.67","NH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.455","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4060,"HC.67","NH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4061,"HC.67","NJ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.294","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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. State noted: ""The State of New Jersey reported a combined rate for all member-eligible enrollees in the ages ""18 to 64"" performance measure section. NJ does not stratify this measure by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4062,"HC.67","NJ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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. State noted: ""The State of New Jersey reported a combined rate for all member-eligible enrollees in the ages ""18 to 64"" performance measure section. NJ does not stratify this measure by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4063,"HC.67","NM","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.248","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 for members ages 18+. Measurement year 2022 HEDIS does not stratify this measure by the requested age group of 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4064,"HC.67","NM","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 for members ages 18+. Measurement year 2022 HEDIS does not stratify this measure by the requested age group of 65+.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4065,"HC.67","NY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.284","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 (46 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4066,"HC.67","NY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.388","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 (46 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4067,"HC.67","NC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.214","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4068,"HC.67","NC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.305","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4069,"HC.67","ND","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4070,"HC.67","ND","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.509","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4071,"HC.67","OH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.313","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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. State reported the following deviations: ""The numerator, denominator and rate for this measure is reported for the Statewide Ohio Medicaid Managed Care Program. The numerator is the sum of the 5 Ohio Medicaid managed care plans' HEDIS measurement year 2022 reported numerators (for Ages 18 and older).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4072,"HC.67","OH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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. State reported the following deviations: ""The numerator, denominator and rate for this measure is reported for the Statewide Ohio Medicaid Managed Care Program. The numerator is the sum of the 5 Ohio Medicaid managed care plans' HEDIS measurement year 2022 reported numerators (for Ages 18 and older).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4073,"HC.67","OK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.167","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4074,"HC.67","OK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4075,"HC.67","PA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.344","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4076,"HC.67","PA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.492","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4077,"HC.67","PR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4078,"HC.67","PR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.303","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4079,"HC.67","RI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.341","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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: ""Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)."" Rates were audited or validated. State noted: ""The Ages 18 to 64 rates include all individuals age 18 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4080,"HC.67","RI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.492","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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: ""Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)."" Rates were audited or validated. State noted: ""The Ages 18 to 64 rates include all individuals age 18 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4081,"HC.67","SC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.161","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4082,"HC.67","SC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.247","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4083,"HC.67","SD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.131","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4084,"HC.67","SD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.197","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4085,"HC.67","TN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.165","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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. State reported the following deviations: ""This measure was calculated based on NCQA measure specifications. NCQA specifications do not stratify the adult population by age range, therefore the rates reported include all members age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4086,"HC.67","TN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.276","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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. State reported the following deviations: ""This measure was calculated based on NCQA measure specifications. NCQA specifications do not stratify the adult population by age range, therefore the rates reported include all members age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4087,"HC.67","TX","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.145","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4088,"HC.67","TX","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.258","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4089,"HC.67","VT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.445","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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. State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4090,"HC.67","VT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.622","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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. State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4091,"HC.67","VA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4092,"HC.67","VA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.367","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4093,"HC.67","WA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4094,"HC.67","WA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4095,"HC.67","WV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.476","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 (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: Age is as of the ED visit but the age groups were defined by end of measurement period; the rates should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4096,"HC.67","WV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.575","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 (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: Age is as of the ED visit but the age groups were defined by end of measurement period; the rates should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4097,"HC.67","WI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.29","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4098,"HC.67","WI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.411","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4099,"HC.67","WY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4100,"HC.67","WY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.328","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4101,"HC.67","AK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4102,"HC.67","OR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4103,"HC.67","UT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4104,"HC.67","MT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4105,"HC.67","ID","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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 18 to 64",True,"percent","47","0.282","","0.572","0.03","0.173","0.344","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
4106,"HC.67","AK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4107,"HC.67","OR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4108,"HC.67","UT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4109,"HC.67","MT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4110,"HC.67","ID","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","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 18 to 64",True,"percent","47","0.398","","0.663","0.039","0.291","0.492","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
4111,"HC.69","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.357","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4112,"HC.69","AL","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.474","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS population. The state described the ""other"" data source used to calculate the measure as the following: ""Separate CHIP claims data.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4113,"HC.69","AK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.04","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. State noted: ""AK Medicaid providers use 96110 to bill for different types of developmental screening that might include the ASQ-SE and the M-CHAT, because AK Medicaid does not yet have policy to use a modifier to identify when one of the eight NQF endorsed standardized developmental screening tools has been used. For this reason, the use of modifiers was taken into account in compiling this measure. Claims filed with procedure code modifiers other than “33” were not included. There might be slight underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4114,"HC.69","AZ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.458","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). Denominator is the sample size; measure-eligible population is 116,902. Rate was audited or validated. State reported the following deviations: ""The numerator includes a developmental screening CPT code that may include domain-specific conditions.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4115,"HC.69","AR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.108","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Medicare-Medicaid Dual Eligible). State reported that the rate excludes the following populations: “Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" Rate was audited or validated. State reported the following deviations: "" Implemented CPT 96110 with no modifiers, per DMS direction."" State noted: ""CPT code 96110 will not be reimbursed by Arkansas Medicaid until CY2024. Claims used for the numerator are either denied claims or zero-dollar claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4116,"HC.69","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.34","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4117,"HC.69","CO","","","","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.607","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (2 MCOs). Sample size is 411; measure-eligible population is 83,634. Rate was audited or validated. State noted: ""Rate was calculated by adding Managed Care administrative rate and FFS hybrid rate.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4118,"HC.69","CO","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.378","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4119,"HC.69","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.637","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4120,"HC.69","DE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.72","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Denominator is the sample size; measure-eligible population is 14,396. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4121,"HC.69","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.183","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" State noted: ""Only data on the managed care population were available for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4122,"HC.69","FL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.259","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (11 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Denominator is the sample size; measure-eligible population is 315,015. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4123,"HC.69","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.562","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the performance measure validation (PMV) audits that EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Denominator is the sample size; measure-eligible population is 212,022. Rate was audited or validated. State noted: ""The rate is the sum of each MCO's rate weighted by the percent the MCO's eligible population contributes to the total eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4124,"HC.69","HI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.258","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan."" Rate was derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 23,623.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4125,"HC.69","ID","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.267","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4126,"HC.69","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.466","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4127,"HC.69","IN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.268","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4128,"HC.69","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.34","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4129,"HC.69","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.334","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reported Data."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4130,"HC.69","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.367","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4131,"HC.69","ME","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.335","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4132,"HC.69","MA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.633","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate also includes ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4133,"HC.69","MI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.293","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Medicaid Health Plan Encounter Data from the State of Michigan Data Warehouse.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4134,"HC.69","MN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.507","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Data source includes paid claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4135,"HC.69","MS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.247","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4136,"HC.69","NE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.321","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claims Data."" Rate was derived using both administrative and hybrid method data. Two MCOs used administrative data and one MCO used the hybrid method. Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4137,"HC.69","NV","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.201","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4138,"HC.69","NV","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4139,"HC.69","NH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.406","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS members were excluded."" 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."" Denominator is the sample size; measure-eligible population is 8,282.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4140,"HC.69","NJ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.452","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Oregon Health and Science University (OHSU) measurement year 2022 administrative collection method submitted by the MCOs."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4141,"HC.69","NY","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.053","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (15 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4142,"HC.69","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.747","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4143,"HC.69","NC","","","","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4144,"HC.69","ND","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.269","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4145,"HC.69","OK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.291","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4146,"HC.69","OR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.643","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4147,"HC.69","PA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.622","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4148,"HC.69","PR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.162","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4149,"HC.69","RI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.721","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (2 MCOs). State reported that the rate excludes 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 Performance Improvement Project (PIP) reports by Medicaid Managed Care Organizations (MCOs)."" Rate was derived using both administrative and hybrid method data. One health plan reported using the hybrid data collection method. One health plan reported using the administrative method. Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4150,"HC.69","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.529","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported the following deviations: ""For numerators and denominators for all ages, continuous enrollment criteria not applied."" State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4151,"HC.69","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.183","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4152,"HC.69","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.617","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4153,"HC.69","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.453","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4154,"HC.69","TX","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.485","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes 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."" Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4155,"HC.69","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.528","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4156,"HC.69","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.455","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state currently only uses paid claims and denied lines from otherwise accepted encounters."" State noted: ""WA rates include both general developmental screenings and autism screenings.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4157,"HC.69","WV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.526","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid 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 Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4158,"HC.69","WV","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.531","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP 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 Medicaid Enterprise Data Solution (EDS).""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4159,"HC.69","WY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.243","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4160,"HC.69","NM","","","","","","","","","","","","","","","","2023","","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4161,"HC.69","OH","","","","","","","","","","","","","","","","2023","","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4162,"HC.69","UT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4163,"HC.69","VA","","","","","","","","","","","","","","","","2023","","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4164,"HC.69","WI","","","","","","","","","","","","","","","","2023","","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4165,"HC.69","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4166,"HC.69","MO","","","","","","","","","","","","","","","","2023","","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4167,"HC.69","KY","","","","","","","","","","","","","","","","2023","","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4168,"HC.69","MD","","","","","","","","","","","","","","","","2023","","","","higher","Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3",True,"percent","43","0.357","","0.747","0.04","0.259","0.529","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4169,"HC.7","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.122","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4170,"HC.7","AK","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.085","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4171,"HC.7","AZ","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.088","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4172,"HC.7","AR","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.105","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4173,"HC.7","CA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.08","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4174,"HC.7","CO","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.114","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4175,"HC.7","CT","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.1","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4176,"HC.7","DE","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.108","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4177,"HC.7","DC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.134","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4178,"HC.7","FL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.106","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4179,"HC.7","GA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.128","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4180,"HC.7","HI","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.095","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4181,"HC.7","ID","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.084","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4182,"HC.7","IL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.106","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4183,"HC.7","IN","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.108","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4184,"HC.7","IA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.087","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4185,"HC.7","KS","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.099","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4186,"HC.7","KY","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.108","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4187,"HC.7","LA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.13","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4188,"HC.7","ME","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.101","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4189,"HC.7","MD","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.104","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4190,"HC.7","MA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.094","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4191,"HC.7","MI","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.116","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4192,"HC.7","MN","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.087","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4193,"HC.7","MS","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.148","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4194,"HC.7","MO","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.118","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4195,"HC.7","MT","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.104","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4196,"HC.7","NE","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.093","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4197,"HC.7","NV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.108","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4198,"HC.7","NH","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.089","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4199,"HC.7","NJ","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.089","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4200,"HC.7","NM","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.107","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4201,"HC.7","NY","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.092","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4202,"HC.7","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.122","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4203,"HC.7","ND","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.1","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4204,"HC.7","OH","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.113","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4205,"HC.7","OK","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.096","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4206,"HC.7","OR","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.08","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4207,"HC.7","PA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.114","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4208,"HC.7","PR","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.104","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4209,"HC.7","RI","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.091","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4210,"HC.7","SC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.122","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4211,"HC.7","SD","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.093","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4212,"HC.7","TN","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.106","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4213,"HC.7","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.096","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4214,"HC.7","UT","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.091","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4215,"HC.7","VT","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.09","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4216,"HC.7","VA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.107","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4217,"HC.7","WA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.075","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4218,"HC.7","WV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.122","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4219,"HC.7","WI","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.106","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4220,"HC.7","WY","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.128","lower","Percentage of Live Births Weighing Less Than 2,500 Grams",True,"percent","52","0.104","","0.148","0.075","0.092","0.114","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4221,"HC.73","AL","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.575","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4222,"HC.73","AL","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.614","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4223,"HC.73","AL","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.805","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4224,"HC.73","AL","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4225,"HC.73","AL","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.733","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4226,"HC.73","AL","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.72","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4227,"HC.73","AL","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.546","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4228,"HC.73","AL","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.551","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4229,"HC.73","AZ","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.516","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4230,"HC.73","AZ","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.541","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4231,"HC.73","AZ","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.722","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4232,"HC.73","AZ","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.656","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4233,"HC.73","AZ","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.686","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4234,"HC.73","AZ","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.649","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4235,"HC.73","AZ","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.546","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4236,"HC.73","AZ","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.648","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4237,"HC.73","AR","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.567","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4238,"HC.73","AR","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.563","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4239,"HC.73","AR","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.79","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4240,"HC.73","AR","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4241,"HC.73","AR","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.706","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4242,"HC.73","AR","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.72","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4243,"HC.73","AR","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.541","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4244,"HC.73","AR","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.506","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4245,"HC.73","CA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.4","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4246,"HC.73","CA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.427","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4247,"HC.73","CA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.64","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4248,"HC.73","CA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.58","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4249,"HC.73","CA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.626","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4250,"HC.73","CA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.648","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4251,"HC.73","CA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.499","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4252,"HC.73","CA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.549","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (24 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4253,"HC.73","CO","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.463","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4254,"HC.73","CO","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.497","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4255,"HC.73","CO","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.735","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4256,"HC.73","CO","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.618","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4257,"HC.73","CO","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.634","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4258,"HC.73","CO","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.644","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4259,"HC.73","CO","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.5","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4260,"HC.73","CO","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.564","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs and 7 PCCM plans).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4261,"HC.73","CT","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.52","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4262,"HC.73","CT","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.528","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4263,"HC.73","CT","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.759","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4264,"HC.73","CT","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4265,"HC.73","CT","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.709","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4266,"HC.73","CT","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4267,"HC.73","CT","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.513","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4268,"HC.73","CT","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.644","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4269,"HC.73","DE","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.54","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4270,"HC.73","DE","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.551","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4271,"HC.73","DE","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.736","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4272,"HC.73","DE","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.725","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4273,"HC.73","DE","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.656","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4274,"HC.73","DE","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.639","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4275,"HC.73","DE","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.544","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4276,"HC.73","DE","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.697","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4277,"HC.73","DC","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.456","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4278,"HC.73","DC","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.51","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4279,"HC.73","DC","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.744","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4280,"HC.73","DC","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.635","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4281,"HC.73","DC","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.674","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4282,"HC.73","DC","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.616","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4283,"HC.73","DC","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.513","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4284,"HC.73","DC","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.541","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4285,"HC.73","GA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.547","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4286,"HC.73","GA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.601","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4287,"HC.73","GA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.747","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4288,"HC.73","GA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.694","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4289,"HC.73","GA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.694","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4290,"HC.73","GA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.656","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4291,"HC.73","GA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.553","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4292,"HC.73","GA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.599","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4293,"HC.73","HI","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.498","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4294,"HC.73","HI","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.452","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4295,"HC.73","HI","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.709","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4296,"HC.73","HI","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.628","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4297,"HC.73","HI","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.658","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4298,"HC.73","HI","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.673","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4299,"HC.73","HI","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.556","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4300,"HC.73","HI","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.684","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4301,"HC.73","IL","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.499","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4302,"HC.73","IL","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.54","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4303,"HC.73","IL","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.754","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4304,"HC.73","IL","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.729","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4305,"HC.73","IL","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.722","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4306,"HC.73","IL","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.616","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4307,"HC.73","IL","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.585","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4308,"HC.73","IL","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.657","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4309,"HC.73","IN","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.559","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4310,"HC.73","IN","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.595","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4311,"HC.73","IN","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.78","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4312,"HC.73","IN","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.678","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4313,"HC.73","IN","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.683","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4314,"HC.73","IN","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.666","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4315,"HC.73","IN","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.569","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4316,"HC.73","IN","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.641","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (8 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4317,"HC.73","KS","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.582","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4318,"HC.73","KS","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.628","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4319,"HC.73","KS","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.765","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4320,"HC.73","KS","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.738","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4321,"HC.73","KS","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.705","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4322,"HC.73","KS","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.672","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4323,"HC.73","KS","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.594","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4324,"HC.73","KS","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.655","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4325,"HC.73","KY","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.578","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4326,"HC.73","KY","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.597","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4327,"HC.73","KY","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.821","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4328,"HC.73","KY","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.725","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4329,"HC.73","KY","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.754","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4330,"HC.73","KY","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.708","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4331,"HC.73","KY","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.552","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4332,"HC.73","KY","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.646","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4333,"HC.73","LA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.559","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4334,"HC.73","LA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.609","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4335,"HC.73","LA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.807","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4336,"HC.73","LA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.749","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4337,"HC.73","LA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.714","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4338,"HC.73","LA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.703","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4339,"HC.73","LA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.585","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4340,"HC.73","LA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.648","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4341,"HC.73","MD","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.5","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4342,"HC.73","MD","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.562","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4343,"HC.73","MD","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.724","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4344,"HC.73","MD","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.674","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4345,"HC.73","MD","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.638","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4346,"HC.73","MD","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.613","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4347,"HC.73","MD","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.547","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4348,"HC.73","MD","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.577","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4349,"HC.73","MA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.526","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4350,"HC.73","MA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.538","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4351,"HC.73","MA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.779","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4352,"HC.73","MA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.697","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4353,"HC.73","MA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.674","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4354,"HC.73","MA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.671","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4355,"HC.73","MA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.598","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4356,"HC.73","MA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.625","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4357,"HC.73","MI","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.561","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4358,"HC.73","MI","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.602","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4359,"HC.73","MI","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.771","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4360,"HC.73","MI","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.698","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4361,"HC.73","MI","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.671","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4362,"HC.73","MI","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.657","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4363,"HC.73","MI","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.575","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4364,"HC.73","MI","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.632","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4365,"HC.73","MN","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.432","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4366,"HC.73","MN","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.52","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4367,"HC.73","MN","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.776","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4368,"HC.73","MN","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.674","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4369,"HC.73","MN","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.695","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4370,"HC.73","MN","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.632","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4371,"HC.73","MN","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.477","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4372,"HC.73","MN","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.6","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (14 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4373,"HC.73","MS","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.643","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4374,"HC.73","MS","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.664","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4375,"HC.73","MS","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.831","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4376,"HC.73","MS","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.729","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4377,"HC.73","MS","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.771","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4378,"HC.73","MS","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.706","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4379,"HC.73","MS","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.613","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4380,"HC.73","MS","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.675","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4381,"HC.73","MO","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.58","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4382,"HC.73","MO","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.595","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4383,"HC.73","MO","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.804","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4384,"HC.73","MO","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.7","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4385,"HC.73","MO","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.705","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4386,"HC.73","MO","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.679","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4387,"HC.73","MO","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.56","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4388,"HC.73","MO","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.587","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4389,"HC.73","MT","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.472","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4390,"HC.73","MT","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.558","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4391,"HC.73","MT","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.74","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4392,"HC.73","MT","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4393,"HC.73","MT","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.68","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4394,"HC.73","MT","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.639","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4395,"HC.73","MT","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.457","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4396,"HC.73","MT","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.578","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4397,"HC.73","NE","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.574","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4398,"HC.73","NE","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.641","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4399,"HC.73","NE","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.813","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4400,"HC.73","NE","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.716","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4401,"HC.73","NE","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.745","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4402,"HC.73","NE","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.694","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4403,"HC.73","NE","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.621","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4404,"HC.73","NE","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.634","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4405,"HC.73","NV","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.425","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4406,"HC.73","NV","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.471","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4407,"HC.73","NV","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.683","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4408,"HC.73","NV","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.688","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4409,"HC.73","NV","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.63","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4410,"HC.73","NV","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.624","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4411,"HC.73","NV","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.494","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4412,"HC.73","NV","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.596","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4413,"HC.73","NH","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.475","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4414,"HC.73","NH","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.534","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4415,"HC.73","NH","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.759","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4416,"HC.73","NH","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.667","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4417,"HC.73","NH","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.645","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4418,"HC.73","NH","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.646","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4419,"HC.73","NH","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.518","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4420,"HC.73","NH","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.626","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4421,"HC.73","NJ","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.47","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4422,"HC.73","NJ","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.545","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4423,"HC.73","NJ","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.757","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4424,"HC.73","NJ","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.681","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4425,"HC.73","NJ","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.656","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4426,"HC.73","NJ","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.638","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4427,"HC.73","NJ","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.568","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4428,"HC.73","NJ","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.632","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4429,"HC.73","NM","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.49","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4430,"HC.73","NM","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.525","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4431,"HC.73","NM","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.76","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4432,"HC.73","NM","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.663","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4433,"HC.73","NM","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.707","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4434,"HC.73","NM","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.676","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4435,"HC.73","NM","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.578","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4436,"HC.73","NM","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.631","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4437,"HC.73","ND","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.515","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4438,"HC.73","ND","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.561","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4439,"HC.73","ND","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.723","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4440,"HC.73","ND","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4441,"HC.73","ND","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.666","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4442,"HC.73","ND","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.68","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4443,"HC.73","ND","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.498","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4444,"HC.73","ND","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.532","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4445,"HC.73","OH","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.551","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4446,"HC.73","OH","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.58","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4447,"HC.73","OH","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.797","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4448,"HC.73","OH","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.71","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4449,"HC.73","OH","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.727","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4450,"HC.73","OH","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.69","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4451,"HC.73","OH","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.584","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4452,"HC.73","OH","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.638","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4453,"HC.73","OK","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.58","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4454,"HC.73","OK","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.579","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4455,"HC.73","OK","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.763","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4456,"HC.73","OK","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.699","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4457,"HC.73","OK","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.716","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4458,"HC.73","OK","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.714","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4459,"HC.73","OK","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.551","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4460,"HC.73","OK","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.557","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4461,"HC.73","OR","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.446","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4462,"HC.73","OR","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.479","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4463,"HC.73","OR","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.735","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4464,"HC.73","OR","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.664","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4465,"HC.73","OR","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.629","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4466,"HC.73","OR","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.628","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4467,"HC.73","OR","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.481","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4468,"HC.73","OR","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.525","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4469,"HC.73","PA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.547","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4470,"HC.73","PA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.592","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4471,"HC.73","PA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.807","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4472,"HC.73","PA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.738","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4473,"HC.73","PA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.703","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4474,"HC.73","PA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.691","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4475,"HC.73","PA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.591","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4476,"HC.73","PA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.666","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (15 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4477,"HC.73","RI","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.537","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4478,"HC.73","RI","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.625","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4479,"HC.73","RI","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.763","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4480,"HC.73","RI","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.702","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4481,"HC.73","RI","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.669","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4482,"HC.73","RI","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.68","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4483,"HC.73","RI","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.589","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4484,"HC.73","RI","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.691","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4485,"HC.73","SC","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.586","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4486,"HC.73","SC","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.649","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4487,"HC.73","SC","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.824","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4488,"HC.73","SC","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.736","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4489,"HC.73","SC","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.752","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4490,"HC.73","SC","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.679","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4491,"HC.73","SC","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.575","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4492,"HC.73","SC","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.641","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4493,"HC.73","SD","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.479","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4494,"HC.73","SD","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.538","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4495,"HC.73","SD","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.707","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4496,"HC.73","SD","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4497,"HC.73","SD","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.6","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4498,"HC.73","SD","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.558","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4499,"HC.73","SD","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.484","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4500,"HC.73","SD","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.496","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include FFS and managed care (PCCM) populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4501,"HC.73","TN","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.589","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4502,"HC.73","TN","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.61","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4503,"HC.73","TN","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.78","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4504,"HC.73","TN","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.708","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4505,"HC.73","TN","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.676","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4506,"HC.73","TN","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.732","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4507,"HC.73","TN","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.554","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4508,"HC.73","TN","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.627","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4509,"HC.73","TX","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.58","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4510,"HC.73","TX","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.547","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4511,"HC.73","TX","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.787","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4512,"HC.73","TX","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.759","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4513,"HC.73","TX","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.718","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4514,"HC.73","TX","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.702","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4515,"HC.73","TX","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.586","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4516,"HC.73","TX","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.587","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4517,"HC.73","VT","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.465","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4518,"HC.73","VT","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.554","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4519,"HC.73","VT","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.701","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4520,"HC.73","VT","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4521,"HC.73","VT","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.588","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4522,"HC.73","VT","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.593","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4523,"HC.73","VT","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.472","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4524,"HC.73","VT","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1","0.634","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 PIHP).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4525,"HC.73","VA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.545","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (11 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4526,"HC.73","VA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.586","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (11 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4527,"HC.73","VA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.757","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (11 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4528,"HC.73","VA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.7","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (11 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4529,"HC.73","VA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.685","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (11 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4530,"HC.73","VA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.679","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (11 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4531,"HC.73","VA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.577","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (11 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4532,"HC.73","VA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.619","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (11 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4533,"HC.73","WA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.419","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4534,"HC.73","WA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.502","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4535,"HC.73","WA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.76","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4536,"HC.73","WA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.653","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4537,"HC.73","WA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.632","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4538,"HC.73","WA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.599","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4539,"HC.73","WA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.477","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4540,"HC.73","WA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.515","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4541,"HC.73","WV","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.567","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4542,"HC.73","WV","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.609","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4543,"HC.73","WV","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.832","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4544,"HC.73","WV","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Denominator is less than 100","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4545,"HC.73","WV","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.732","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4546,"HC.73","WV","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.663","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4547,"HC.73","WV","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.604","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4548,"HC.73","WV","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.651","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4549,"HC.73","WI","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.551","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4550,"HC.73","WI","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.574","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4551,"HC.73","WI","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.782","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4552,"HC.73","WI","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.68","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4553,"HC.73","WI","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.664","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4554,"HC.73","WI","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.663","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4555,"HC.73","WI","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.549","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4556,"HC.73","WI","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","Medicaid","CAHPS 5.1H","0.596","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","State-specific comments: Rates were calculated using data from the AHRQ CAHPS Database. Rates include managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4557,"HC.73","AK","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4558,"HC.73","NC","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4559,"HC.73","NY","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4560,"HC.73","PR","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4561,"HC.73","UT","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4562,"HC.73","FL","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4563,"HC.73","IA","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4564,"HC.73","ID","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4565,"HC.73","ME","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4566,"HC.73","WY","Rate","Getting Needed Care Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Needed Care, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.539","","0.643","0.4","0.475","0.567","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",771
4567,"HC.73","AK","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4568,"HC.73","NC","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4569,"HC.73","NY","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4570,"HC.73","PR","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4571,"HC.73","UT","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4572,"HC.73","FL","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4573,"HC.73","IA","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4574,"HC.73","ID","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4575,"HC.73","ME","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4576,"HC.73","WY","Rate","Getting Care Quickly Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected They “Always” Got Care Quickly, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.562","","0.664","0.427","0.534","0.601","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",772
4577,"HC.73","AK","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4578,"HC.73","NC","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4579,"HC.73","NY","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4580,"HC.73","PR","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4581,"HC.73","UT","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4582,"HC.73","FL","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4583,"HC.73","IA","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4584,"HC.73","ID","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4585,"HC.73","ME","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4586,"HC.73","WY","Rate","How Well Doctors Communicate Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected that Their Doctor Communicates Well “Always,” on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","42","0.762","","0.832","0.64","0.736","0.79","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",773
4587,"HC.73","AK","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4588,"HC.73","NC","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4589,"HC.73","NY","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4590,"HC.73","PR","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4591,"HC.73","UT","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4592,"HC.73","FL","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4593,"HC.73","IA","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4594,"HC.73","ID","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4595,"HC.73","ME","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4596,"HC.73","WY","Rate","Health Plan Information and Customer Service Composite","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Selected Their Health Plan Customer Service “Always” Gave Helpful Information and Was Courteous and Respectful, on a Four-Point Scale Ranging from “Never” to “Always”: Age 18 and Older",True,"percent","34","0.698","","0.759","0.58","0.667","0.725","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",774
4597,"HC.73","AK","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4598,"HC.73","NC","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4599,"HC.73","NY","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4600,"HC.73","PR","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4601,"HC.73","UT","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4602,"HC.73","FL","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4603,"HC.73","IA","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4604,"HC.73","ID","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4605,"HC.73","ME","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4606,"HC.73","WY","Rate","Rating of Personal Doctor","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Personal Doctor a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.684","","0.771","0.588","0.656","0.714","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",482
4607,"HC.73","AK","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4608,"HC.73","NC","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4609,"HC.73","NY","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4610,"HC.73","PR","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4611,"HC.73","UT","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4612,"HC.73","FL","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4613,"HC.73","IA","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4614,"HC.73","ID","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4615,"HC.73","ME","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4616,"HC.73","WY","Rate","Rating of Specialist","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Specialist a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","41","0.666","","0.732","0.558","0.639","0.69","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",483
4617,"HC.73","AK","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4618,"HC.73","NC","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4619,"HC.73","NY","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4620,"HC.73","PR","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4621,"HC.73","UT","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4622,"HC.73","FL","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4623,"HC.73","IA","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4624,"HC.73","ID","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4625,"HC.73","ME","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4626,"HC.73","WY","Rate","Rating of Health Care","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Care a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.553","","0.621","0.457","0.513","0.584","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",484
4627,"HC.73","AK","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4628,"HC.73","NC","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4629,"HC.73","NY","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4630,"HC.73","PR","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4631,"HC.73","UT","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4632,"HC.73","FL","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4633,"HC.73","IA","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4634,"HC.73","ID","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4635,"HC.73","ME","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4636,"HC.73","WY","Rate","Rating of Health Plan","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Rated Their Health Plan a “9” or “10” on a Scale from 0 to 10, with 10 Representing the Highest Score: Age 18 and Older",True,"percent","42","0.627","","0.697","0.496","0.577","0.646","Not Reported","Agency for Healthcare Research and Quality (AHRQ) and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",485
4637,"HC.74","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.142","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4638,"HC.74","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.057","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4639,"HC.74","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.169","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare /Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4640,"HC.74","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.082","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4641,"HC.74","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.082","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4642,"HC.74","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.145","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4643,"HC.74","DE","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.101","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4644,"HC.74","DC","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.116","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4645,"HC.74","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.192","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (13 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4646,"HC.74","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.129","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4647,"HC.74","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.128","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4648,"HC.74","ID","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.142","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4649,"HC.74","IN","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","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: Rate includes FFS and managed care populations (5 MCOs). State reported the following deviations: ""Combined rate for age 18 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4650,"HC.74","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.131","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4651,"HC.74","KS","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.119","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4652,"HC.74","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.092","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4653,"HC.74","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.179","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations. State reported the following deviations: ""Anchor dates not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4654,"HC.74","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.098","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4655,"HC.74","MA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.032","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (13 MCOs). Rate also includes ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4656,"HC.74","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.14","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4657,"HC.74","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.147","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4658,"HC.74","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.038","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4659,"HC.74","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.063","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4660,"HC.74","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.201","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4661,"HC.74","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.229","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4662,"HC.74","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.162","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (54 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4663,"HC.74","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.126","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""Ages 18 to 64 were captured in this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4664,"HC.74","ND","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.139","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4665,"HC.74","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.073","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4666,"HC.74","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.164","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4667,"HC.74","PR","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.187","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4668,"HC.74","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.13","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4669,"HC.74","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.126","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4670,"HC.74","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.121","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4671,"HC.74","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.142","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4672,"HC.74","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.182","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4673,"HC.74","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.101","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4674,"HC.74","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","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: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4675,"HC.74","AK","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4676,"HC.74","NJ","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4677,"HC.74","NM","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4678,"HC.74","NV","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4679,"HC.74","OH","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4680,"HC.74","OR","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4681,"HC.74","RI","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4682,"HC.74","UT","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4683,"HC.74","VA","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4684,"HC.74","WI","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4685,"HC.74","MT","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4686,"HC.74","WV","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4687,"HC.74","IL","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4688,"HC.74","KY","","","","","","","","","","","","","","","","2023","","","","lower","Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines for 30 or More Cumulative Days: Ages 18 to 64",True,"percent","36","0.13","","0.229","0.032","0.1","0.155","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4689,"HC.77","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.614","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4690,"HC.77","AZ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.517","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4691,"HC.77","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.558","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that the rate excludes the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""State implemented the optional exclusion. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4692,"HC.77","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.678","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4693,"HC.77","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.547","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4694,"HC.77","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.707","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4695,"HC.77","DE","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.67","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (2 MCOs). State reported that the rate excludes the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4696,"HC.77","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.781","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4697,"HC.77","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.657","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (13 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4698,"HC.77","GA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.635","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4699,"HC.77","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.534","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4700,"HC.77","ID","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.431","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4701,"HC.77","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.528","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4702,"HC.77","IN","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.569","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4703,"HC.77","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.491","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4704,"HC.77","KS","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.549","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4705,"HC.77","KY","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.594","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4706,"HC.77","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.656","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4707,"HC.77","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.446","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations. State noted: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4708,"HC.77","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.685","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4709,"HC.77","MA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.689","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4710,"HC.77","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.629","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4711,"HC.77","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.543","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4712,"HC.77","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.62","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4713,"HC.77","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.307","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4714,"HC.77","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.405","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4715,"HC.77","NV","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.61","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4716,"HC.77","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.55","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" Rate was audited or validated. State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4717,"HC.77","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.653","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4718,"HC.77","NM","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.544","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregated total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4719,"HC.77","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.682","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (38 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4720,"HC.77","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.611","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4721,"HC.77","ND","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.437","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4722,"HC.77","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.645","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4723,"HC.77","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.376","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4724,"HC.77","OR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.512","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4725,"HC.77","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.616","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4726,"HC.77","PR","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.614","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4727,"HC.77","RI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.643","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4728,"HC.77","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.644","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""The denominator includes the CHIP population. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4729,"HC.77","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.371","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4730,"HC.77","TN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.562","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4731,"HC.77","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.557","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4732,"HC.77","UT","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.46","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4733,"HC.77","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.519","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rate was audited or validated. State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4734,"HC.77","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.555","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4735,"HC.77","WV","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.55","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4736,"HC.77","WI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.583","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4737,"HC.77","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.34","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4738,"HC.77","AK","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4739,"HC.77","VA","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4740,"HC.77","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24",True,"percent","49","0.562","","0.781","0.307","0.519","0.643","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4741,"HC.78","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.524","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and PCCM populations. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4742,"HC.78","AL","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.372","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS population. The state described the ""other"" data source used to calculate the measure as the following: ""Separate CHIP claims data.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4743,"HC.78","AK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.438","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. State noted: ""There might be some underreporting due to claims timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4744,"HC.78","AZ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.468","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4745,"HC.78","AR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.483","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""State implemented the optional exclusion. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4746,"HC.78","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.591","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4747,"HC.78","CO","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.483","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4748,"HC.78","CO","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.313","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4749,"HC.78","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.627","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4750,"HC.78","DE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.571","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4751,"HC.78","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.772","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4752,"HC.78","FL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.598","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4753,"HC.78","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.596","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4754,"HC.78","HI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.449","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4755,"HC.78","ID","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.342","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4756,"HC.78","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.435","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4757,"HC.78","IN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.452","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4758,"HC.78","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.367","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4759,"HC.78","KS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.399","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reported Data."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4760,"HC.78","KY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.481","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4761,"HC.78","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.615","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4762,"HC.78","ME","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.383","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4763,"HC.78","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.596","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4764,"HC.78","MA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.686","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4765,"HC.78","MI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.594","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (9 MCOs). State reported that the rate excludes the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims data."" Rate was audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4766,"HC.78","MN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.459","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Data source includes paid claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4767,"HC.78","MS","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.438","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4768,"HC.78","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.425","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). State reported that the rate excludes the following populations: ""This measure was reported by our MCOs, and as such it excluded FFS members."" The state described the ""other"" data sources used to calculate the measure as the following: ""Our managed care organizations perform this analysis using their own claims."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4769,"HC.78","NE","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.292","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claims Data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4770,"HC.78","NV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.522","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4771,"HC.78","NV","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.425","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4772,"HC.78","NH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.445","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS members were excluded."" 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."" Rate was audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4773,"HC.78","NJ","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.575","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4774,"HC.78","NM","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.424","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4775,"HC.78","NY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.719","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (15 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Billing Data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4776,"HC.78","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.53","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4777,"HC.78","NC","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.459","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes FFS and managed care populations (5 MCOs). Rate was 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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4778,"HC.78","ND","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.318","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4779,"HC.78","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.528","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4780,"HC.78","OK","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.283","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4781,"HC.78","OR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.402","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4782,"HC.78","PA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.52","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4783,"HC.78","PR","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.588","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4784,"HC.78","RI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.619","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4785,"HC.78","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.57","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4786,"HC.78","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.292","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4787,"HC.78","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.481","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4788,"HC.78","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.471","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4789,"HC.78","TX","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.338","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes 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."" Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4790,"HC.78","UT","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.345","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (4 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4791,"HC.78","UT","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.238","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Rate was audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4792,"HC.78","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.411","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4793,"HC.78","VA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.454","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4794,"HC.78","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.433","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: ""Excludes women 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 and denied lines from otherwise accepted encounters. Rather than HEDIS National Drug Code (NDC) lists, the state used the generic product identifier (GPI) associated with the claim/encounter to identify contraceptive and retinoid NDC.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4795,"HC.78","WV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.38","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Medicaid rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Medicaid FFS population. Most children in Medicaid FFS are on Aged and Disabled, Intellectual and Developmental Disabilities, or Traumatic Brain Injury waivers."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4796,"HC.78","WV","","","","","","","","","","","","","","","","2023","CHIP only","Administrative","0.247","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: CHIP rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",161
4797,"HC.78","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.438","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4798,"HC.78","WY","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.294","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4799,"HC.78","MT","","","","","","","","","","","","","","","","2023","","","","higher","Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20",True,"percent","51","0.468","","0.772","0.283","0.411","0.575","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
4800,"HC.83","AL","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.229","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 noted: ""There is a notable increase in the denominators for the CCW measure in this year's reporting because recipients in the state's Family Planning program maintained eligibility. This continued eligibility allowed this population to meet the minimum months eligibility requirements for denominator compliance.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4801,"HC.83","AL","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.027","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 noted: ""There is a notable increase in the denominators for the CCW measure in this year's reporting because recipients in the state's Family Planning program maintained eligibility. This continued eligibility allowed this population to meet the minimum months eligibility requirements for denominator compliance.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4802,"HC.83","AZ","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.189","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4803,"HC.83","AZ","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.036","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4804,"HC.83","AR","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.205","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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). Rates also include ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical or family planning only services benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4805,"HC.83","AR","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.027","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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). Rates also include ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical or family planning only services benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4806,"HC.83","CA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.223","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4807,"HC.83","CA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.037","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4808,"HC.83","CO","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.176","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4809,"HC.83","CO","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.043","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4810,"HC.83","CT","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.243","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4811,"HC.83","CT","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.038","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4812,"HC.83","DE","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.226","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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). State reported that rates exclude the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4813,"HC.83","DE","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.034","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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). State reported that rates exclude the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4814,"HC.83","DC","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.173","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4815,"HC.83","DC","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.025","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4816,"HC.83","FL","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.178","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 (13 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4817,"HC.83","FL","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.029","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 (13 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4818,"HC.83","HI","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.214","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4819,"HC.83","HI","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.046","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4820,"HC.83","ID","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.216","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4821,"HC.83","ID","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.049","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 (2 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4822,"HC.83","IL","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.178","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4823,"HC.83","IL","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.022","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4824,"HC.83","IN","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.224","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). State reported the following deviations: ""Long-acting reversible method of contraception (LARC) was not calculated.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4825,"HC.83","IN","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). State reported the following deviations: ""Long-acting reversible method of contraception (LARC) was not calculated.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4826,"HC.83","IA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.203","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4827,"HC.83","IA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.033","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4828,"HC.83","KS","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.211","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4829,"HC.83","KS","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.04","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4830,"HC.83","LA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.246","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4831,"HC.83","LA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.031","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4832,"HC.83","ME","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.218","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4833,"HC.83","ME","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.161","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4834,"HC.83","MA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.274","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4835,"HC.83","MA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.054","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4836,"HC.83","MI","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.212","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4837,"HC.83","MI","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.032","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4838,"HC.83","MN","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.235","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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: ""Rates include paid claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4839,"HC.83","MN","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.05","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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: ""Rates include paid claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4840,"HC.83","MS","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.234","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4841,"HC.83","MS","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.024","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4842,"HC.83","MO","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.206","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4843,"HC.83","MO","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.035","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4844,"HC.83","NE","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.26","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4845,"HC.83","NE","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.056","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4846,"HC.83","NV","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.21","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4847,"HC.83","NV","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.031","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4848,"HC.83","NH","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.246","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4849,"HC.83","NH","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.049","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4850,"HC.83","NJ","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.224","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4851,"HC.83","NJ","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.027","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4852,"HC.83","NY","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.216","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 (61 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4853,"HC.83","NY","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.032","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 (61 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4854,"HC.83","NC","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.187","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4855,"HC.83","NC","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.033","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4856,"HC.83","ND","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.191","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4857,"HC.83","ND","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.038","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4858,"HC.83","OK","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.206","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4859,"HC.83","OK","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.033","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4860,"HC.83","PA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.259","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4861,"HC.83","PA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.038","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4862,"HC.83","PR","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.034","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4863,"HC.83","PR","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.002","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4864,"HC.83","SC","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.26","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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). State noted: ""The denominator includes the CHIP population. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4865,"HC.83","SC","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.036","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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). State noted: ""The denominator includes the CHIP population. Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4866,"HC.83","SD","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.212","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4867,"HC.83","SD","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.048","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4868,"HC.83","TN","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.201","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4869,"HC.83","TN","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.039","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4870,"HC.83","TX","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.24","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4871,"HC.83","TX","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.055","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4872,"HC.83","VT","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.253","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4873,"HC.83","VT","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.052","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4874,"HC.83","WA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.213","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 women with dual Medicaid/Medicare eligibility and/or full third-party liability."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state currently only uses paid claims and denied lines from otherwise accepted encounters. Instead of using the National Drug Codes (NDC) from table CCW-E and F, state used Generic Product Identifiers (GPI) to identify all applicable NDC for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception, as WA also uses S4993 to indicate emergency contraception.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4875,"HC.83","WA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.045","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 women with dual Medicaid/Medicare eligibility and/or full third-party liability."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state currently only uses paid claims and denied lines from otherwise accepted encounters. Instead of using the National Drug Codes (NDC) from table CCW-E and F, state used Generic Product Identifiers (GPI) to identify all applicable NDC for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception, as WA also uses S4993 to indicate emergency contraception.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4876,"HC.83","WV","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.2","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4877,"HC.83","WV","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.027","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4878,"HC.83","WY","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.14","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4879,"HC.83","WY","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.049","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4880,"HC.83","AK","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4881,"HC.83","NM","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4882,"HC.83","OH","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4883,"HC.83","OR","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4884,"HC.83","RI","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4885,"HC.83","UT","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4886,"HC.83","VA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4887,"HC.83","WI","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4888,"HC.83","MT","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4889,"HC.83","GA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4890,"HC.83","KY","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4891,"HC.83","MD","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 21 to 44",True,"percent","40","0.214","","0.274","0.034","0.201","0.235","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4892,"HC.83","AK","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4893,"HC.83","NM","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4894,"HC.83","OH","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4895,"HC.83","OR","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4896,"HC.83","RI","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4897,"HC.83","UT","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4898,"HC.83","VA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4899,"HC.83","WI","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4900,"HC.83","MT","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4901,"HC.83","GA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4902,"HC.83","KY","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4903,"HC.83","MD","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44",True,"percent","39","0.036","","0.161","0.002","0.031","0.048","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4904,"HC.84","AL","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.266","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4905,"HC.84","AL","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.021","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4906,"HC.84","AL","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.267","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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: ""Merative Health Insights database."" State reported the following deviations: ""The Core Set technical specifications for this measure state that effectiveness of care measures should utilize suspended, pending, and denied claims as well as paid claims in the numerator. Only paid claims are utilized in the state's calculation. The measure allows for a Family Planning Only Services benefit to be included in the continuous enrollment criteria for the denominator. The state cannot identify this benefit, so it has been excluded.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",486
4907,"HC.84","AL","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.021","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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: ""Merative Health Insights database."" State reported the following deviations: ""The Core Set technical specifications for this measure state that effectiveness of care measures should utilize suspended, pending, and denied claims as well as paid claims in the numerator. Only paid claims are utilized in the state's calculation. The measure allows for a Family Planning Only Services benefit to be included in the continuous enrollment criteria for the denominator. The state cannot identify this benefit, so it has been excluded.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",487
4908,"HC.84","AK","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.178","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4909,"HC.84","AK","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.042","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4910,"HC.84","AZ","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.162","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4911,"HC.84","AZ","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.025","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4912,"HC.84","AR","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.281","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. Services in Arkansas Medicaid bill as part of maternity global billing, making it difficult to identify individual visits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4913,"HC.84","AR","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.03","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. Services in Arkansas Medicaid bill as part of maternity global billing, making it difficult to identify individual visits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4914,"HC.84","CA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.133","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4915,"HC.84","CA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.019","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4916,"HC.84","CO","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.228","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4917,"HC.84","CO","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.048","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4918,"HC.84","CO","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.169","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",486
4919,"HC.84","CO","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.032","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",487
4920,"HC.84","CT","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.232","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4921,"HC.84","CT","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.026","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4922,"HC.84","DE","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.214","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4923,"HC.84","DE","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.026","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4924,"HC.84","DC","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.184","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4925,"HC.84","DC","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.023","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4926,"HC.84","FL","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.15","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4927,"HC.84","FL","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.015","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4928,"HC.84","HI","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.175","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4929,"HC.84","HI","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.034","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4930,"HC.84","ID","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.258","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4931,"HC.84","ID","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.049","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4932,"HC.84","IL","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.161","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4933,"HC.84","IL","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.013","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4934,"HC.84","IN","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.117","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4935,"HC.84","IN","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.016","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4936,"HC.84","IA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.293","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4937,"HC.84","IA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.044","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4938,"HC.84","KS","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.199","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4939,"HC.84","KS","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.028","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4940,"HC.84","LA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.291","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4941,"HC.84","LA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.029","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4942,"HC.84","ME","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.346","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4943,"HC.84","ME","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.28","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4944,"HC.84","MA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.288","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4945,"HC.84","MA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.036","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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, ICM, and managed care populations (15 MCOs). Rates also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4946,"HC.84","MI","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.238","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse - Contains a copy of MMIS data."" State reported the following deviations: ""The specs state that paid, suspended/pending and denied claims should all be included. The rates reported do not include suspended/pending claims as these are a very tiny fraction of all claims and would be very difficult to include.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4947,"HC.84","MI","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.026","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse - Contains a copy of MMIS data."" State reported the following deviations: ""The specs state that paid, suspended/pending and denied claims should all be included. The rates reported do not include suspended/pending claims as these are a very tiny fraction of all claims and would be very difficult to include.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4948,"HC.84","MN","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.241","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4949,"HC.84","MN","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.043","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4950,"HC.84","MS","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.235","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4951,"HC.84","MS","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.017","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4952,"HC.84","MO","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.279","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4953,"HC.84","MO","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.035","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4954,"HC.84","NE","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.27","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4955,"HC.84","NE","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.044","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4956,"HC.84","NV","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.167","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4957,"HC.84","NV","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.022","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4958,"HC.84","NV","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",486
4959,"HC.84","NV","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",487
4960,"HC.84","NH","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.349","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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."" 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4961,"HC.84","NH","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.059","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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."" 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4962,"HC.84","NJ","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.139","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4963,"HC.84","NJ","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.01","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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: ""HHS Office of Population Affairs (OPA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4964,"HC.84","NY","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.175","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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 (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4965,"HC.84","NY","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.018","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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 (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4966,"HC.84","NC","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.246","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4967,"HC.84","NC","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.033","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4968,"HC.84","NC","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.197","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",486
4969,"HC.84","NC","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.02","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",487
4970,"HC.84","ND","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.259","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4971,"HC.84","ND","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.039","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4972,"HC.84","OK","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.273","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4973,"HC.84","OK","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.033","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4974,"HC.84","PA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.273","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4975,"HC.84","PA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.028","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4976,"HC.84","PR","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.016","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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 (1 MCO). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4977,"HC.84","PR","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.001","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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 (1 MCO). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4978,"HC.84","SC","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.257","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4979,"HC.84","SC","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.028","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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). State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Rates include FFS recipients in the Family Planning Waiver. FFS Population only includes Family Planning Waiver Recipients.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4980,"HC.84","SD","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.275","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4981,"HC.84","SD","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.05","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4982,"HC.84","TN","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.276","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4983,"HC.84","TN","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.037","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4984,"HC.84","TX","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.159","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4985,"HC.84","TX","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.026","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4986,"HC.84","TX","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",486
4987,"HC.84","TX","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",487
4988,"HC.84","VT","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.417","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4989,"HC.84","VT","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.072","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4990,"HC.84","WA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.223","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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 women 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 currently only use paid claims and denied lines from otherwise accepted encounters. Instead of using the National Drug Codes (NDC) from table CCW-E and F, state used generic product identifiers (GPI) to identify all applicable NDC for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception, as WA also uses S4993 to indicate emergency contraception.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4991,"HC.84","WA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.038","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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 women 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 currently only use paid claims and denied lines from otherwise accepted encounters. Instead of using the National Drug Codes (NDC) from table CCW-E and F, state used generic product identifiers (GPI) to identify all applicable NDC for specific methods. State required Family Planning modifier for 11981 and 11983 to verify contraceptive use. State did not use S4993 alone as indication of oral contraception, as WA also uses S4993 to indicate emergency contraception.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4992,"HC.84","WV","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.347","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4993,"HC.84","WV","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.032","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4994,"HC.84","WV","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.307","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",486
4995,"HC.84","WV","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.021","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",487
4996,"HC.84","WY","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.184","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4997,"HC.84","WY","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.06","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
4998,"HC.84","NM","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
4999,"HC.84","OH","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
5000,"HC.84","OR","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
5001,"HC.84","RI","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
5002,"HC.84","UT","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
5003,"HC.84","VA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
5004,"HC.84","WI","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
5005,"HC.84","MT","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
5006,"HC.84","GA","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
5007,"HC.84","KY","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
5008,"HC.84","MD","Method of Contraception","Most or Moderately Effective Contraceptive","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20",True,"percent","41","0.238","","0.417","0.016","0.175","0.275","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",486
5009,"HC.84","NM","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5010,"HC.84","OH","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5011,"HC.84","OR","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5012,"HC.84","RI","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5013,"HC.84","UT","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5014,"HC.84","VA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5015,"HC.84","WI","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5016,"HC.84","MT","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5017,"HC.84","GA","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5018,"HC.84","KY","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5019,"HC.84","MD","Method of Contraception","LARC","1","","","","","","","","","","","","","2023","","","","higher","Percentage of All Women at Risk of Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20",True,"percent","41","0.03","","0.28","0.001","0.023","0.042","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",487
5020,"HC.85","AL","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.821","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5021,"HC.85","AL","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.264","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5022,"HC.85","AL","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.63","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5023,"HC.85","AL","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.198","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5024,"HC.85","AL","Immunization Type","MMR","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.917","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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 sources used to calculate the measure as the following: ""Separate CHIP claims data and supplemental data.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",488
5025,"HC.85","AL","Immunization Type","Flu","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.402","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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 sources used to calculate the measure as the following: ""Separate CHIP claims data and supplemental data.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",489
5026,"HC.85","AL","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.793","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 sources used to calculate the measure as the following: ""Separate CHIP claims data and supplemental data.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",490
5027,"HC.85","AL","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.36","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 sources used to calculate the measure as the following: ""Separate CHIP claims data and supplemental data.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",491
5028,"HC.85","AZ","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.8","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5029,"HC.85","AZ","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.345","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5030,"HC.85","AZ","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.596","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5031,"HC.85","AZ","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.264","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5032,"HC.85","AR","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.826","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and immunization registry data were used together to obtain immunization records for the entire eligible population. (all children who turned age 2 during the reporting year)."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. The delivery system populations were determined using enrollment data as of each beneficiary's 2nd birthday.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5033,"HC.85","AR","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.249","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and immunization registry data were used together to obtain immunization records for the entire eligible population. (all children who turned age 2 during the reporting year)."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. The delivery system populations were determined using enrollment data as of each beneficiary's 2nd birthday.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5034,"HC.85","AR","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.571","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and immunization registry data were used together to obtain immunization records for the entire eligible population. (all children who turned age 2 during the reporting year)."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. The delivery system populations were determined using enrollment data as of each beneficiary's 2nd birthday.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5035,"HC.85","AR","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.19","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and immunization registry data were used together to obtain immunization records for the entire eligible population. (all children who turned age 2 during the reporting year)."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. The delivery system populations were determined using enrollment data as of each beneficiary's 2nd birthday.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5036,"HC.85","CA","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.838","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rate was derived using both administrative and hybrid method data. Fifty managed care plan reporting units used the hybrid methodology. Administrative data were used for 6 managed care reporting units and the FFS delivery system. ISS data were used by FFS and all managed care delivery systems. Denominator is the measure-eligible population. Rate was audited or validated. State noted: ""Combination 3 was not reported because data were not available.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5037,"HC.85","CA","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.436","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rate was derived using both administrative and hybrid method data. Fifty managed care plan reporting units used the hybrid methodology. Administrative data were used for 6 managed care reporting units and the FFS delivery system. ISS data were used by FFS and all managed care delivery systems. Denominator is the measure-eligible population. Rate was audited or validated. State noted: ""Combination 3 was not reported because data were not available.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5038,"HC.85","CA","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rate was derived using both administrative and hybrid method data. Fifty managed care plan reporting units used the hybrid methodology. Administrative data were used for 6 managed care reporting units and the FFS delivery system. ISS data were used by FFS and all managed care delivery systems. Denominator is the measure-eligible population. Rate was audited or validated. State noted: ""Combination 3 was not reported because data were not available.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5039,"HC.85","CA","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.327","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rate was derived using both administrative and hybrid method data. Fifty managed care plan reporting units used the hybrid methodology. Administrative data were used for 6 managed care reporting units and the FFS delivery system. ISS data were used by FFS and all managed care delivery systems. Denominator is the measure-eligible population. Rate was audited or validated. State noted: ""Combination 3 was not reported because data were not available.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5040,"HC.85","CO","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.816","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5041,"HC.85","CO","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.485","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5042,"HC.85","CO","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.627","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5043,"HC.85","CO","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.368","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5044,"HC.85","CO","Immunization Type","MMR","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.814","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",488
5045,"HC.85","CO","Immunization Type","Flu","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.517","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",489
5046,"HC.85","CO","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.612","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",490
5047,"HC.85","CO","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.395","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",491
5048,"HC.85","CT","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.915","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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. Denominator is the sample size; measure-eligible population is 15,370. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5049,"HC.85","CT","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.631","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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. Denominator is the sample size; measure-eligible population is 15,370. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5050,"HC.85","CT","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.791","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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. Denominator is the sample size; measure-eligible population is 15,370. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5051,"HC.85","CT","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.52","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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. Denominator is the sample size; measure-eligible population is 15,370. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5052,"HC.85","DE","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.877","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 5,234. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5053,"HC.85","DE","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.481","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 5,234. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5054,"HC.85","DE","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.705","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 5,234. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5055,"HC.85","DE","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.374","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 5,234. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5056,"HC.85","DC","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.807","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 4,236.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5057,"HC.85","DC","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.343","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 4,236.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5058,"HC.85","DC","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.496","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 4,236.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5059,"HC.85","DC","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.246","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 4,236.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5060,"HC.85","FL","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","Not reported for [stratification]","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 (12 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Rates were derived using both administrative and hybrid method data. Fee-For-Service, MediKids, and Children's Medical Services Health Plan (CMSHP) used hybrid methodology. Florida Healthy Kids is not included because the age group is not applicable for this measure. Ten Medicaid Managed Care plans used the hybrid methodology and two plans reported using the administrative methodology. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5061,"HC.85","FL","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","Not reported for [stratification]","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 (12 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Rates were derived using both administrative and hybrid method data. Fee-For-Service, MediKids, and Children's Medical Services Health Plan (CMSHP) used hybrid methodology. Florida Healthy Kids is not included because the age group is not applicable for this measure. Ten Medicaid Managed Care plans used the hybrid methodology and two plans reported using the administrative methodology. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5062,"HC.85","FL","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.694","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 (12 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Rates were derived using both administrative and hybrid method data. Fee-For-Service, MediKids, and Children's Medical Services Health Plan (CMSHP) used hybrid methodology. Florida Healthy Kids is not included because the age group is not applicable for this measure. Ten Medicaid Managed Care plans used the hybrid methodology and two plans reported using the administrative methodology. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5063,"HC.85","FL","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.244","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 (12 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Rates were derived using both administrative and hybrid method data. Fee-For-Service, MediKids, and Children's Medical Services Health Plan (CMSHP) used hybrid methodology. Florida Healthy Kids is not included because the age group is not applicable for this measure. Ten Medicaid Managed Care plans used the hybrid methodology and two plans reported using the administrative methodology. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5064,"HC.85","GA","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.816","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5065,"HC.85","GA","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.221","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5066,"HC.85","GA","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.611","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5067,"HC.85","GA","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.167","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5068,"HC.85","HI","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.751","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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."" Rates were derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 7,978. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5069,"HC.85","HI","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.491","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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."" Rates were derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 7,978. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5070,"HC.85","HI","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.561","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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."" Rates were derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 7,978. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5071,"HC.85","HI","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.358","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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."" Rates were derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 7,978. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5072,"HC.85","IL","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.81","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5073,"HC.85","IL","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.335","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5074,"HC.85","IL","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.551","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5075,"HC.85","IL","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.247","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5076,"HC.85","IN","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.835","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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 derived using both administrative and hybrid method data. The measure-eligible population is 41,192. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5077,"HC.85","IN","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.395","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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 derived using both administrative and hybrid method data. The measure-eligible population is 41,192. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5078,"HC.85","IN","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.591","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 derived using both administrative and hybrid method data. The measure-eligible population is 41,192. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5079,"HC.85","IN","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.283","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 derived using both administrative and hybrid method data. The measure-eligible population is 41,192. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5080,"HC.85","KS","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.826","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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 Reported Data."" Denominator is the sample size; measure-eligible population is 15,626. Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5081,"HC.85","KS","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.376","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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 Reported Data."" Denominator is the sample size; measure-eligible population is 15,626. Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5082,"HC.85","KS","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.597","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 Reported Data."" Denominator is the sample size; measure-eligible population is 15,626. Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5083,"HC.85","KS","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.286","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 Reported Data."" Denominator is the sample size; measure-eligible population is 15,626. Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5084,"HC.85","LA","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.829","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5085,"HC.85","LA","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.238","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5086,"HC.85","LA","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.609","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5087,"HC.85","LA","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.184","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5088,"HC.85","ME","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.699","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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."" State noted: ""Because the state does not have access to Maine Immunization Information System (ImmPact) data, measure results may be inaccurate and some measure-eligible data may be missing.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5089,"HC.85","ME","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.408","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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."" State noted: ""Because the state does not have access to Maine Immunization Information System (ImmPact) data, measure results may be inaccurate and some measure-eligible data may be missing.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5090,"HC.85","ME","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.132","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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."" State noted: ""Because the state does not have access to Maine Immunization Information System (ImmPact) data, measure results may be inaccurate and some measure-eligible data may be missing.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5091,"HC.85","ME","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.075","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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."" State noted: ""Because the state does not have access to Maine Immunization Information System (ImmPact) data, measure results may be inaccurate and some measure-eligible data may be missing.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5092,"HC.85","MD","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.873","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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 (9 MCOs). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Denominator is the sample size; measure-eligible population is 34,739. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5093,"HC.85","MD","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.478","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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 (9 MCOs). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Denominator is the sample size; measure-eligible population is 34,739. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5094,"HC.85","MD","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.689","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 (9 MCOs). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Denominator is the sample size; measure-eligible population is 34,739. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5095,"HC.85","MD","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.361","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 (9 MCOs). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Denominator is the sample size; measure-eligible population is 34,739. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5096,"HC.85","MA","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.883","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5097,"HC.85","MA","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.608","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5098,"HC.85","MA","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.751","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5099,"HC.85","MA","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.492","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5100,"HC.85","MI","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.784","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated. The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5101,"HC.85","MI","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.32","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated. The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5102,"HC.85","MI","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.576","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated. The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5103,"HC.85","MI","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.253","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated. The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5104,"HC.85","MN","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.76","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. State noted: ""Data source includes paid and denied claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5105,"HC.85","MN","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.461","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. State noted: ""Data source includes paid and denied claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5106,"HC.85","MN","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.56","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. State noted: ""Data source includes paid and denied claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5107,"HC.85","MN","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.336","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. State noted: ""Data source includes paid and denied claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5108,"HC.85","MS","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.894","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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."" Denominator is the sample size; measure-eligible population is 12,341.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5109,"HC.85","MS","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.271","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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."" Denominator is the sample size; measure-eligible population is 12,341.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5110,"HC.85","MS","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.715","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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."" Denominator is the sample size; measure-eligible population is 12,341.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5111,"HC.85","MS","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.222","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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."" Denominator is the sample size; measure-eligible population is 12,341.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5112,"HC.85","MO","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.765","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such it excludes FFS members."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter data."" Denominator is the sample size; measure-eligible population is 33,716. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5113,"HC.85","MO","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.299","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such it excludes FFS members."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter data."" Denominator is the sample size; measure-eligible population is 33,716. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5114,"HC.85","MO","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.516","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such it excludes FFS members."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter data."" Denominator is the sample size; measure-eligible population is 33,716. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5115,"HC.85","MO","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.214","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such it excludes FFS members."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter data."" Denominator is the sample size; measure-eligible population is 33,716. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5116,"HC.85","NE","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.869","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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."" Denominator is the sample size; measure-eligible population is 10,298.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5117,"HC.85","NE","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.567","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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."" Denominator is the sample size; measure-eligible population is 10,298.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5118,"HC.85","NE","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.723","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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."" Denominator is the sample size; measure-eligible population is 10,298.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5119,"HC.85","NE","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.469","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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."" Denominator is the sample size; measure-eligible population is 10,298.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5120,"HC.85","NV","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.791","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5121,"HC.85","NV","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.309","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5122,"HC.85","NV","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.576","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5123,"HC.85","NV","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.242","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5124,"HC.85","NV","Immunization Type","MMR","1","","","","","","","","","","","","","2023","CHIP only","Administrative & Hybrid","0.84","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",488
5125,"HC.85","NV","Immunization Type","Flu","1","","","","","","","","","","","","","2023","CHIP only","Administrative & Hybrid","0.394","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",489
5126,"HC.85","NV","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","CHIP only","Administrative & Hybrid","0.657","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",490
5127,"HC.85","NV","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","CHIP only","Administrative & Hybrid","0.343","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",491
5128,"HC.85","NH","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.845","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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."" 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."" Denominator is the sample size; measure-eligible population is 4,227. Rates were audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5129,"HC.85","NH","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.531","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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."" 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."" Denominator is the sample size; measure-eligible population is 4,227. Rates were audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5130,"HC.85","NH","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.681","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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."" 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."" Denominator is the sample size; measure-eligible population is 4,227. Rates were audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5131,"HC.85","NH","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.417","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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."" 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."" Denominator is the sample size; measure-eligible population is 4,227. Rates were audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5132,"HC.85","NJ","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.855","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""HEDIS measurement year 2022 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 38,410. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5133,"HC.85","NJ","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.493","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""HEDIS measurement year 2022 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 38,410. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5134,"HC.85","NJ","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.597","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""HEDIS measurement year 2022 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 38,410. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5135,"HC.85","NJ","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.339","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""HEDIS measurement year 2022 hybrid collection method submitted by the MCOs."" Denominator is the sample size; measure-eligible population is 38,410. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5136,"HC.85","NM","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.849","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Denominator is the sample size; measure-eligible population is 14,411. Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' Hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5137,"HC.85","NM","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.433","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Denominator is the sample size; measure-eligible population is 14,411. Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' Hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5138,"HC.85","NM","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.672","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Denominator is the sample size; measure-eligible population is 14,411. Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' Hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5139,"HC.85","NM","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.35","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Denominator is the sample size; measure-eligible population is 14,411. Rates were audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' Hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5140,"HC.85","NY","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.862","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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."" Denominator is the sample size; measure-eligible population is 109,616. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5141,"HC.85","NY","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.479","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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."" Denominator is the sample size; measure-eligible population is 109,616. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5142,"HC.85","NY","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.686","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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."" Denominator is the sample size; measure-eligible population is 109,616. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5143,"HC.85","NY","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.392","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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."" Denominator is the sample size; measure-eligible population is 109,616. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5144,"HC.85","NC","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.875","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5145,"HC.85","NC","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.363","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5146,"HC.85","NC","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.693","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5147,"HC.85","NC","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.286","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5148,"HC.85","NC","Immunization Type","MMR","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",488
5149,"HC.85","NC","Immunization Type","Flu","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",489
5150,"HC.85","NC","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",490
5151,"HC.85","NC","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",491
5152,"HC.85","ND","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.838","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5153,"HC.85","ND","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.526","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5154,"HC.85","ND","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.658","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5155,"HC.85","ND","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.406","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5156,"HC.85","OH","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.823","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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 hybrid or administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" The measure-eligible population is 60,803. Rates were audited or validated. State noted: ""For four plans, the denominator represents a systematic sample drawn from the eligible population; numerator includes documentation of childhood immunization in medical records. For one plan, the results were calculated using claims/administrative data to include results for the entire denominator population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5157,"HC.85","OH","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.372","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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 hybrid or administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" The measure-eligible population is 60,803. Rates were audited or validated. State noted: ""For four plans, the denominator represents a systematic sample drawn from the eligible population; numerator includes documentation of childhood immunization in medical records. For one plan, the results were calculated using claims/administrative data to include results for the entire denominator population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5158,"HC.85","OH","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.607","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 hybrid or administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" The measure-eligible population is 60,803. Rates were audited or validated. State noted: ""For four plans, the denominator represents a systematic sample drawn from the eligible population; numerator includes documentation of childhood immunization in medical records. For one plan, the results were calculated using claims/administrative data to include results for the entire denominator population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5159,"HC.85","OH","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.28","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 hybrid or administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" The measure-eligible population is 60,803. Rates were audited or validated. State noted: ""For four plans, the denominator represents a systematic sample drawn from the eligible population; numerator includes documentation of childhood immunization in medical records. For one plan, the results were calculated using claims/administrative data to include results for the entire denominator population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5160,"HC.85","OK","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.665","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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."" Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5161,"HC.85","OK","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.296","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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."" Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5162,"HC.85","OK","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.266","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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."" Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5163,"HC.85","OK","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.136","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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."" Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5164,"HC.85","OR","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.796","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5165,"HC.85","OR","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.396","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5166,"HC.85","OR","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.603","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5167,"HC.85","OR","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.332","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5168,"HC.85","PA","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.869","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5169,"HC.85","PA","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.459","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5170,"HC.85","PA","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.683","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5171,"HC.85","PA","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.367","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5172,"HC.85","PR","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.639","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5173,"HC.85","PR","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.088","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5174,"HC.85","PR","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.019","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5175,"HC.85","PR","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.002","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5176,"HC.85","RI","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.909","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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)."" Denominator is the sample size; measure-eligible population is 5,224. Rates were audited or validated. State noted: ""The denominator the sum of the samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5177,"HC.85","RI","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.664","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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)."" Denominator is the sample size; measure-eligible population is 5,224. Rates were audited or validated. State noted: ""The denominator the sum of the samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5178,"HC.85","RI","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.795","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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)."" Denominator is the sample size; measure-eligible population is 5,224. Rates were audited or validated. State noted: ""The denominator the sum of the samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5179,"HC.85","RI","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.579","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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)."" Denominator is the sample size; measure-eligible population is 5,224. Rates were audited or validated. State noted: ""The denominator the sum of the samples reported by each of 3 health plans (Managed Care Organizations).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5180,"HC.85","SC","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.832","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 32,518. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5181,"HC.85","SC","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.319","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 32,518. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5182,"HC.85","SC","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.61","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 32,518. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5183,"HC.85","SC","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.234","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 32,518. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5184,"HC.85","SD","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.685","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5185,"HC.85","SD","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.428","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5186,"HC.85","SD","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.457","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5187,"HC.85","SD","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.291","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5188,"HC.85","TN","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.837","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5189,"HC.85","TN","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.365","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5190,"HC.85","TN","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.644","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5191,"HC.85","TN","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.285","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5192,"HC.85","TX","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.848","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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 derived using both administrative and hybrid method data. For FFY 2023 CIS (Medicaid Child), Texas State of Texas Access Reform (STAR) and STAR Kids used hybrid data collection method, while STAR Health and FFS contributed administrative data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5193,"HC.85","TX","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.342","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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 derived using both administrative and hybrid method data. For FFY 2023 CIS (Medicaid Child), Texas State of Texas Access Reform (STAR) and STAR Kids used hybrid data collection method, while STAR Health and FFS contributed administrative data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5194,"HC.85","TX","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.622","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 derived using both administrative and hybrid method data. For FFY 2023 CIS (Medicaid Child), Texas State of Texas Access Reform (STAR) and STAR Kids used hybrid data collection method, while STAR Health and FFS contributed administrative data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5195,"HC.85","TX","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.257","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 derived using both administrative and hybrid method data. For FFY 2023 CIS (Medicaid Child), Texas State of Texas Access Reform (STAR) and STAR Kids used hybrid data collection method, while STAR Health and FFS contributed administrative data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5196,"HC.85","TX","Immunization Type","MMR","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",488
5197,"HC.85","TX","Immunization Type","Flu","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",489
5198,"HC.85","TX","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",490
5199,"HC.85","TX","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",491
5200,"HC.85","UT","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.795","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size; measure-eligible population is 11,173. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5201,"HC.85","UT","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.445","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size; measure-eligible population is 11,173. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5202,"HC.85","UT","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.596","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size; measure-eligible population is 11,173. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5203,"HC.85","UT","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.352","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size; measure-eligible population is 11,173. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5204,"HC.85","UT","Immunization Type","MMR","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.852","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size; measure-eligible population is 174. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",488
5205,"HC.85","UT","Immunization Type","Flu","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.461","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size; measure-eligible population is 174. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",489
5206,"HC.85","UT","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.688","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size; measure-eligible population is 174. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",490
5207,"HC.85","UT","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.375","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size; measure-eligible population is 174. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",491
5208,"HC.85","VT","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.781","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5209,"HC.85","VT","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.499","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5210,"HC.85","VT","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.638","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5211,"HC.85","VT","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.392","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5212,"HC.85","VA","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.841","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). State reported that rates exclude the following populations: ""The denominator represents the state NCQA Quality Compass HEDIS rate which currently excludes the Fee-for-Service Population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the hybrid methodology. The six MCOs also utilized data from the immunization registry to report this measure."" Sample size and measure-eligible population are not available. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5213,"HC.85","VA","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.449","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). State reported that rates exclude the following populations: ""The denominator represents the state NCQA Quality Compass HEDIS rate which currently excludes the Fee-for-Service Population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the hybrid methodology. The six MCOs also utilized data from the immunization registry to report this measure."" Sample size and measure-eligible population are not available. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5214,"HC.85","VA","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.625","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). State reported that rates exclude the following populations: ""The denominator represents the state NCQA Quality Compass HEDIS rate which currently excludes the Fee-for-Service Population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the hybrid methodology. The six MCOs also utilized data from the immunization registry to report this measure."" Sample size and measure-eligible population are not available. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5215,"HC.85","VA","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.335","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). State reported that rates exclude the following populations: ""The denominator represents the state NCQA Quality Compass HEDIS rate which currently excludes the Fee-for-Service Population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the hybrid methodology. The six MCOs also utilized data from the immunization registry to report this measure."" Sample size and measure-eligible population are not available. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5216,"HC.85","WA","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.794","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""Birth certificate data."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters. State included vaccine-specific indicator CPT codes that were outside of specifications but have occurred in our Immunization Information System data (such as age-inappropriate codes or combination vaccines). State does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5217,"HC.85","WA","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.417","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""Birth certificate data."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters. State included vaccine-specific indicator CPT codes that were outside of specifications but have occurred in our Immunization Information System data (such as age-inappropriate codes or combination vaccines). State does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5218,"HC.85","WA","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.585","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""Birth certificate data."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters. State included vaccine-specific indicator CPT codes that were outside of specifications but have occurred in our Immunization Information System data (such as age-inappropriate codes or combination vaccines). State does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5219,"HC.85","WA","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.317","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""Birth certificate data."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters. State included vaccine-specific indicator CPT codes that were outside of specifications but have occurred in our Immunization Information System data (such as age-inappropriate codes or combination vaccines). State does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5220,"HC.85","WV","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.859","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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). State reported that rates exclude the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System. Two MCOs reported using hybrid data, one MCO reported using administrative data via their claims systems, supplemental data, and the immunization registry."" Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5221,"HC.85","WV","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.313","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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). State reported that rates exclude the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System. Two MCOs reported using hybrid data, one MCO reported using administrative data via their claims systems, supplemental data, and the immunization registry."" Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5222,"HC.85","WV","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.636","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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). State reported that rates exclude the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System. Two MCOs reported using hybrid data, one MCO reported using administrative data via their claims systems, supplemental data, and the immunization registry."" Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5223,"HC.85","WV","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.244","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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). State reported that rates exclude the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System. Two MCOs reported using hybrid data, one MCO reported using administrative data via their claims systems, supplemental data, and the immunization registry."" Denominator is the measure-eligible population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5224,"HC.85","WV","Immunization Type","MMR","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.89","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Denominator is the sample size, which is equivalent to the measure-eligible population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",488
5225,"HC.85","WV","Immunization Type","Flu","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.38","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Denominator is the sample size, which is equivalent to the measure-eligible population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",489
5226,"HC.85","WV","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.73","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Denominator is the sample size, which is equivalent to the measure-eligible population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",490
5227,"HC.85","WV","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.308","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 (3 MCOs). State reported that rates exclude the following populations: ""West Virginia CHIP FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Denominator is the sample size, which is equivalent to the measure-eligible population.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",491
5228,"HC.85","WI","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.811","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rates were derived using both administrative and hybrid method data. Four of 14 HMO plans used the administrative method and 10 of 14 HMO plans used the hybrid method. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5229,"HC.85","WI","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.417","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rates were derived using both administrative and hybrid method data. Four of 14 HMO plans used the administrative method and 10 of 14 HMO plans used the hybrid method. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5230,"HC.85","WI","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.61","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rates were derived using both administrative and hybrid method data. Four of 14 HMO plans used the administrative method and 10 of 14 HMO plans used the hybrid method. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5231,"HC.85","WI","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.336","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rates were derived using both administrative and hybrid method data. Four of 14 HMO plans used the administrative method and 10 of 14 HMO plans used the hybrid method. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5232,"HC.85","WY","Immunization Type","MMR","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.685","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5233,"HC.85","WY","Immunization Type","Flu","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.276","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5234,"HC.85","WY","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.236","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5235,"HC.85","WY","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.107","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5236,"HC.85","AK","Immunization Type","MMR","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5237,"HC.85","MT","Immunization Type","MMR","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5238,"HC.85","IA","Immunization Type","MMR","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5239,"HC.85","ID","Immunization Type","MMR","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5240,"HC.85","KY","Immunization Type","MMR","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday",True,"percent","46","0.826","","0.915","0.639","0.794","0.855","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",488
5241,"HC.85","AK","Immunization Type","Flu","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5242,"HC.85","MT","Immunization Type","Flu","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5243,"HC.85","IA","Immunization Type","Flu","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5244,"HC.85","ID","Immunization Type","Flu","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5245,"HC.85","KY","Immunization Type","Flu","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had at Least Two Flu Vaccinations by their Second Birthday",True,"percent","46","0.402","","0.664","0.088","0.319","0.479","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",489
5246,"HC.85","AK","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5247,"HC.85","MT","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5248,"HC.85","IA","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5249,"HC.85","ID","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5250,"HC.85","KY","Immunization Type","Combination 3","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 3) by their Second Birthday",True,"percent","46","0.61","","0.795","0.019","0.576","0.681","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",490
5251,"HC.85","AK","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5252,"HC.85","MT","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5253,"HC.85","IA","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5254,"HC.85","ID","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5255,"HC.85","KY","Immunization Type","Combination 10","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 10) by their Second Birthday",True,"percent","47","0.286","","0.579","0.002","0.242","0.361","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",491
5256,"HC.88","AL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.28","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5257,"HC.88","AL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.426","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5258,"HC.88","AZ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.449","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5259,"HC.88","AZ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.575","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5260,"HC.88","AR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.218","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and mental health benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5261,"HC.88","AR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.337","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and mental health benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5262,"HC.88","CA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.426","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5263,"HC.88","CA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.559","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5264,"HC.88","CO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.352","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5265,"HC.88","CO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.484","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5266,"HC.88","CT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.369","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5267,"HC.88","CT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.52","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5268,"HC.88","DE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.284","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5269,"HC.88","DE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.39","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5270,"HC.88","DC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.507","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5271,"HC.88","DC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.633","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5272,"HC.88","FL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.226","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5273,"HC.88","FL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.348","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 (14 MCOs). State reported that rates exclude the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5274,"HC.88","GA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.22","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5275,"HC.88","GA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.339","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5276,"HC.88","HI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.363","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5277,"HC.88","HI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.509","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5278,"HC.88","IL","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.079","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5279,"HC.88","IL","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.138","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5280,"HC.88","IN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.323","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5281,"HC.88","IN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.479","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5282,"HC.88","IA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.347","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5283,"HC.88","IA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.521","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5284,"HC.88","KS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.626","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5285,"HC.88","KS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.741","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 Reporting."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5286,"HC.88","KY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.31","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5287,"HC.88","KY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.453","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5288,"HC.88","LA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.171","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5289,"HC.88","LA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.286","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5290,"HC.88","ME","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.716","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5291,"HC.88","ME","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.805","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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: ""Only paid claims are used as the state's measures engine only includes paid claims.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5292,"HC.88","MD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.331","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5293,"HC.88","MD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.521","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5294,"HC.88","MA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.729","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5295,"HC.88","MA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.797","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5296,"HC.88","MI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.399","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5297,"HC.88","MI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.543","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5298,"HC.88","MN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.52","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5299,"HC.88","MN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.659","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5300,"HC.88","MS","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.274","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5301,"HC.88","MS","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.482","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5302,"HC.88","MO","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.242","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5303,"HC.88","MO","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.354","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5304,"HC.88","NE","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.331","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5305,"HC.88","NE","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.519","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5306,"HC.88","NV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.412","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5307,"HC.88","NV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.504","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5308,"HC.88","NH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.602","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5309,"HC.88","NH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.692","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 excluded."" 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."" State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5310,"HC.88","NJ","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.538","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5311,"HC.88","NJ","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.624","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5312,"HC.88","NM","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.365","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5313,"HC.88","NM","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.516","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5314,"HC.88","NY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.606","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 (47 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5315,"HC.88","NY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.702","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 (47 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5316,"HC.88","NC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.33","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5317,"HC.88","NC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.461","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5318,"HC.88","ND","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.4","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5319,"HC.88","ND","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.573","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5320,"HC.88","OH","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.374","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5321,"HC.88","OH","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.52","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5322,"HC.88","OK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.342","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5323,"HC.88","OK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.47","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5324,"HC.88","OR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.506","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5325,"HC.88","OR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.643","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5326,"HC.88","PA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.367","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5327,"HC.88","PA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.505","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 (7 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. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5328,"HC.88","PR","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.356","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5329,"HC.88","PR","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.572","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5330,"HC.88","RI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.586","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5331,"HC.88","RI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.708","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5332,"HC.88","SC","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.334","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5333,"HC.88","SC","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.458","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5334,"HC.88","SD","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.531","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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. State reported the following deviations: ""Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5335,"HC.88","SD","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.614","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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. State reported the following deviations: ""Since community mental health center (CMHC) visits count towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the follow-up.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5336,"HC.88","TN","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.295","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5337,"HC.88","TN","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.452","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5338,"HC.88","TX","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.257","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5339,"HC.88","TX","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.395","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5340,"HC.88","VT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.659","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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. State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5341,"HC.88","VT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.748","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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. State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5342,"HC.88","VA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.314","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5343,"HC.88","VA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.454","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5344,"HC.88","WA","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.498","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5345,"HC.88","WA","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.616","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5346,"HC.88","WV","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.268","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 (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: Age is as of the ED visit but the age groups were defined by end of measurement period; the rates should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5347,"HC.88","WV","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.43","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 (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: Age is as of the ED visit but the age groups were defined by end of measurement period; the rates should include all events, but it was implemented to evaluate only the first two events to meet the allowable adjustment criteria.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5348,"HC.88","WI","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.335","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claim System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5349,"HC.88","WI","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.456","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claim System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5350,"HC.88","WY","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.315","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5351,"HC.88","WY","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.508","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5352,"HC.88","AK","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5353,"HC.88","UT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5354,"HC.88","MT","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5355,"HC.88","ID","Rate","7-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.354","","0.729","0.079","0.303","0.502","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",177
5356,"HC.88","AK","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5357,"HC.88","UT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5358,"HC.88","MT","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5359,"HC.88","ID","Rate","30-Day Follow-Up","1","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","48","0.513","","0.805","0.138","0.454","0.615","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",178
5360,"HC.89","AL","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.436","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5361,"HC.89","AL","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.249","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5362,"HC.89","AL","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.239","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5363,"HC.89","AL","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.462","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",492
5364,"HC.89","AL","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.259","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",493
5365,"HC.89","AL","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.238","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",494
5366,"HC.89","AK","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.444","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5367,"HC.89","AK","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.264","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5368,"HC.89","AK","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.246","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5369,"HC.89","AZ","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.559","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5370,"HC.89","AZ","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.421","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5371,"HC.89","AZ","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.413","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5372,"HC.89","AR","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.689","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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 pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5373,"HC.89","AR","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.529","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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 pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5374,"HC.89","AR","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.522","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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 pharmacy benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5375,"HC.89","CA","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.596","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5376,"HC.89","CA","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.409","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5377,"HC.89","CA","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.398","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5378,"HC.89","CO","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.484","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5379,"HC.89","CO","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.243","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5380,"HC.89","CO","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.231","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5381,"HC.89","CO","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.516","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",492
5382,"HC.89","CO","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.283","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",493
5383,"HC.89","CO","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.277","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",494
5384,"HC.89","CT","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.52","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5385,"HC.89","CT","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.366","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5386,"HC.89","CT","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.346","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5387,"HC.89","DE","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.585","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5388,"HC.89","DE","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.559","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5389,"HC.89","DE","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.485","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5390,"HC.89","DC","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.37","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5391,"HC.89","DC","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.249","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5392,"HC.89","DC","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.241","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5393,"HC.89","FL","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.52","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5394,"HC.89","FL","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.369","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5395,"HC.89","FL","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.352","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5396,"HC.89","GA","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.511","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5397,"HC.89","GA","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.312","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5398,"HC.89","GA","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.283","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5399,"HC.89","HI","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.505","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5400,"HC.89","HI","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.272","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5401,"HC.89","HI","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.263","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5402,"HC.89","IL","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.613","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5403,"HC.89","IL","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.34","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5404,"HC.89","IL","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.333","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5405,"HC.89","IN","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.458","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5406,"HC.89","IN","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.261","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5407,"HC.89","IN","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.242","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5408,"HC.89","IA","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.465","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5409,"HC.89","IA","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.248","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5410,"HC.89","IA","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.236","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5411,"HC.89","KS","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.576","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5412,"HC.89","KS","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.434","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5413,"HC.89","KS","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.423","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5414,"HC.89","KY","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.509","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5415,"HC.89","KY","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.327","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5416,"HC.89","KY","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.309","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5417,"HC.89","LA","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.554","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5418,"HC.89","LA","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.288","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5419,"HC.89","LA","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.281","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5420,"HC.89","ME","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.578","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5421,"HC.89","ME","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.449","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5422,"HC.89","ME","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.442","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5423,"HC.89","MD","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.657","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5424,"HC.89","MD","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.573","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5425,"HC.89","MD","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.546","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5426,"HC.89","MA","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.594","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5427,"HC.89","MA","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.443","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5428,"HC.89","MA","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.421","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5429,"HC.89","MN","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.531","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5430,"HC.89","MN","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.351","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5431,"HC.89","MN","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.343","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5432,"HC.89","MS","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.44","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5433,"HC.89","MS","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.292","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5434,"HC.89","MS","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.267","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5435,"HC.89","MO","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.547","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5436,"HC.89","MO","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.324","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5437,"HC.89","MO","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.317","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5438,"HC.89","NE","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.509","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5439,"HC.89","NE","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.314","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5440,"HC.89","NE","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.292","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5441,"HC.89","NV","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.449","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5442,"HC.89","NV","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.34","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5443,"HC.89","NV","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.322","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5444,"HC.89","NV","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.5","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",492
5445,"HC.89","NV","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.397","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",493
5446,"HC.89","NV","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.382","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",494
5447,"HC.89","NH","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.553","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5448,"HC.89","NH","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.331","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5449,"HC.89","NH","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.321","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5450,"HC.89","NJ","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.491","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5451,"HC.89","NJ","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.391","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5452,"HC.89","NJ","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.335","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5453,"HC.89","NM","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.599","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5454,"HC.89","NM","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.376","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5455,"HC.89","NM","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.364","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5456,"HC.89","NY","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.597","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5457,"HC.89","NY","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.431","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5458,"HC.89","NY","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.416","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5459,"HC.89","NC","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.513","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5460,"HC.89","NC","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.342","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5461,"HC.89","NC","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.32","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5462,"HC.89","NC","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.542","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Information Exchange."" Rates were audited or validated. State noted: ""North Carolina Health Choice Children includes ages 6 through 18. The denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",492
5463,"HC.89","NC","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.36","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Information Exchange."" Rates were audited or validated. State noted: ""North Carolina Health Choice Children includes ages 6 through 18. The denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",493
5464,"HC.89","NC","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.328","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Information Exchange."" Rates were audited or validated. State noted: ""North Carolina Health Choice Children includes ages 6 through 18. The denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",494
5465,"HC.89","ND","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.619","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5466,"HC.89","ND","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.43","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5467,"HC.89","ND","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.422","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5468,"HC.89","OH","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.495","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5469,"HC.89","OH","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.315","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5470,"HC.89","OH","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.302","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5471,"HC.89","OK","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.417","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5472,"HC.89","OK","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.2","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5473,"HC.89","OK","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.193","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5474,"HC.89","PA","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.777","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5475,"HC.89","PA","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.688","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5476,"HC.89","PA","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.666","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5477,"HC.89","PR","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.59","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated. State noted: ""Denominator differences occur due to the different number of MCOs that reported the measure stratifications. For the Blood Glucose Testing rate, four MCOs reported both age stratifications. For the Cholesterol Testing rate, four MCOs reported the 1 to 11 age stratification and only three MCOs reported the 12 to 17 age stratification. For the Blood Glucose and Cholesterol Testing rate, three MCOs reported the 1 to 11 age stratification and four MCOs reported the 12 to 17 age stratification.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5478,"HC.89","PR","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.489","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated. State noted: ""Denominator differences occur due to the different number of MCOs that reported the measure stratifications. For the Blood Glucose Testing rate, four MCOs reported both age stratifications. For the Cholesterol Testing rate, four MCOs reported the 1 to 11 age stratification and only three MCOs reported the 12 to 17 age stratification. For the Blood Glucose and Cholesterol Testing rate, three MCOs reported the 1 to 11 age stratification and four MCOs reported the 12 to 17 age stratification.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5479,"HC.89","PR","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.49","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated. State noted: ""Denominator differences occur due to the different number of MCOs that reported the measure stratifications. For the Blood Glucose Testing rate, four MCOs reported both age stratifications. For the Cholesterol Testing rate, four MCOs reported the 1 to 11 age stratification and only three MCOs reported the 12 to 17 age stratification. For the Blood Glucose and Cholesterol Testing rate, three MCOs reported the 1 to 11 age stratification and four MCOs reported the 12 to 17 age stratification.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5480,"HC.89","RI","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.43","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5481,"HC.89","RI","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.31","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5482,"HC.89","RI","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.281","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5483,"HC.89","SC","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.549","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5484,"HC.89","SC","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.351","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5485,"HC.89","SC","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.323","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5486,"HC.89","SD","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.471","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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. State reported the following deviations: ""Since psychosocial care at community mental health centers counts towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the psychosocial care.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5487,"HC.89","SD","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.284","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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. State reported the following deviations: ""Since psychosocial care at community mental health centers counts towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the psychosocial care.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5488,"HC.89","SD","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.271","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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. State reported the following deviations: ""Since psychosocial care at community mental health centers counts towards the numerator, we added a code, H2021, to the value sets. South Dakota Medicaid uses H2021 as a billable service for community mental health centers funded through the Department of Social Services. Any recipient with dates of service during the measure year at a Psychiatric Residential Treatment Facility (PRTF) was excluded from both the denominator and numerator because they would not have had separate codes billed for the psychosocial care.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5489,"HC.89","TN","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.559","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5490,"HC.89","TN","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.424","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5491,"HC.89","TN","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.396","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5492,"HC.89","TX","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.555","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5493,"HC.89","TX","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.396","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5494,"HC.89","TX","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.385","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5495,"HC.89","TX","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.559","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",492
5496,"HC.89","TX","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.357","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",493
5497,"HC.89","TX","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.348","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",494
5498,"HC.89","VT","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.472","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5499,"HC.89","VT","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.245","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5500,"HC.89","VT","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.237","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5501,"HC.89","VA","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.557","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5502,"HC.89","VA","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.363","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5503,"HC.89","VA","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.349","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5504,"HC.89","WA","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.531","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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 currently only uses paid claims and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5505,"HC.89","WA","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.276","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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 currently only uses paid claims and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5506,"HC.89","WA","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.266","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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 currently only uses paid claims and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5507,"HC.89","WV","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.738","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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)."" State noted: ""The State's Medicaid Enterprise Data Solution is NCQA Certified.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5508,"HC.89","WV","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.586","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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)."" State noted: ""The State's Medicaid Enterprise Data Solution is NCQA Certified.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5509,"HC.89","WV","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.576","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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)."" State noted: ""The State's Medicaid Enterprise Data Solution is NCQA Certified.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5510,"HC.89","WV","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.529","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",492
5511,"HC.89","WV","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.314","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",493
5512,"HC.89","WV","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.3","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",494
5513,"HC.89","WI","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.524","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5514,"HC.89","WI","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.275","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5515,"HC.89","WI","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.259","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5516,"HC.89","WY","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.842","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5517,"HC.89","WY","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.481","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5518,"HC.89","WY","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.479","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5519,"HC.89","OR","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5520,"HC.89","UT","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5521,"HC.89","MT","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5522,"HC.89","ID","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5523,"HC.89","MI","Rate","Blood Glucose Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose: Ages 1 to 17",True,"percent","47","0.531","","0.842","0.37","0.484","0.59","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",492
5524,"HC.89","OR","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5525,"HC.89","UT","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5526,"HC.89","MT","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5527,"HC.89","ID","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5528,"HC.89","MI","Rate","Cholesterol Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Cholesterol: Ages 1 to 17",True,"percent","47","0.342","","0.688","0.2","0.284","0.43","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",493
5529,"HC.89","OR","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5530,"HC.89","UT","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5531,"HC.89","MT","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5532,"HC.89","ID","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5533,"HC.89","MI","Rate","Blood Glucose and Cholesterol Testing","1","","","","","","","","","","","","","2023","","","","higher","Percentage with Two or More Antipsychotic Prescriptions that had Metabolic Testing for Blood Glucose and Cholesterol: Ages 1 to 17",True,"percent","47","0.323","","0.666","0.193","0.267","0.416","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",494
5534,"HC.9","AL","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.397","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5535,"HC.9","AL","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.765","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5536,"HC.9","AL","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.349","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",195
5537,"HC.9","AL","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.782","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",196
5538,"HC.9","AK","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.036","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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. State noted: ""There might be slight underreporting due to timely filing lag. This measure does not include the NDC codes associated with Rx vaccinations. This likely lowered the numerator counts for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5539,"HC.9","AK","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.112","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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. State noted: ""There might be slight underreporting due to timely filing lag. This measure does not include the NDC codes associated with Rx vaccinations. This likely lowered the numerator counts for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5540,"HC.9","AZ","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.408","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5541,"HC.9","AZ","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.863","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5542,"HC.9","AR","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.265","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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."" The state described the ""other"" data sources used to calculate the measure as the following: ""claims and immunization registry data were used together to obtain immunization records for the entire eligible population (all adolescents who turned age 13 during the reporting year)."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. The delivery system populations were determined using enrollment data as of each beneficiary's 13th birthday.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5543,"HC.9","AR","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.837","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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."" The state described the ""other"" data sources used to calculate the measure as the following: ""claims and immunization registry data were used together to obtain immunization records for the entire eligible population (all adolescents who turned age 13 during the reporting year)."" Rates were audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. The delivery system populations were determined using enrollment data as of each beneficiary's 13th birthday.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5544,"HC.9","CA","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.408","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were derived using both administrative and hybrid method data. Forty-six managed care plan reporting units used the hybrid methodology. Administrative data were used for 10 managed care reporting units and the FFS delivery system. ISS data were used by FFS and all managed care delivery systems. Denominator is the measure-eligible population. Rates were audited or validated. State noted: ""Combination 1 was not reported because data were not available.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5545,"HC.9","CA","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","Not reported for [stratification]","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were derived using both administrative and hybrid method data. Forty-six managed care plan reporting units used the hybrid methodology. Administrative data were used for 10 managed care reporting units and the FFS delivery system. ISS data were used by FFS and all managed care delivery systems. Denominator is the measure-eligible population. Rates were audited or validated. State noted: ""Combination 1 was not reported because data were not available.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5546,"HC.9","CO","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.328","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5547,"HC.9","CO","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.673","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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, PCCM, and managed care populations (2 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5548,"HC.9","CO","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.355","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",195
5549,"HC.9","CO","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.715","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",196
5550,"HC.9","CT","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.384","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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. Denominator is the sample size; measure-eligible population is 17,812. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5551,"HC.9","CT","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.859","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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. Denominator is the sample size; measure-eligible population is 17,812. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5552,"HC.9","DE","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.483","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 5,225. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5553,"HC.9","DE","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.716","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 5,225. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5554,"HC.9","DC","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.41","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 4,347.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5555,"HC.9","DC","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.734","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Denominator is the sample size; measure-eligible population is 4,347.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5556,"HC.9","FL","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.381","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 (13 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Rates were derived using both administrative and hybrid method data. Fee-For-Service, Florida Healthy Kids, and Children's Medical Services Health Plan (CMSHP) used hybrid methodology. MediKids is not included because the age group is not applicable for this measure. Eight Medicaid Managed Care plans used the hybrid methodology and five plans reported using the administrative methodology. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5557,"HC.9","FL","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.736","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 (13 MCOs). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by the health plans."" Rates were derived using both administrative and hybrid method data. Fee-For-Service, Florida Healthy Kids, and Children's Medical Services Health Plan (CMSHP) used hybrid methodology. MediKids is not included because the age group is not applicable for this measure. Eight Medicaid Managed Care plans used the hybrid methodology and five plans reported using the administrative methodology. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5558,"HC.9","GA","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.313","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated. ""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5559,"HC.9","GA","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.836","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated. ""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5560,"HC.9","HI","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.388","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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."" Rates were derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 8,325.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5561,"HC.9","HI","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.619","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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."" Rates were derived using both administrative and hybrid method data. One health plan used the administrative method and four health plans used the hybrid method. The measure-eligible population is 8,325.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5562,"HC.9","IL","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.318","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5563,"HC.9","IL","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.858","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5564,"HC.9","IN","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.295","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 derived using both administrative and hybrid method data. Two MCEs changed their data collection methodology from hybrid to administrative, while the other two MCEs continued to use hybrid methodologies. The measure-eligible population is 35,261. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5565,"HC.9","IN","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.802","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 derived using both administrative and hybrid method data. Two MCEs changed their data collection methodology from hybrid to administrative, while the other two MCEs continued to use hybrid methodologies. The measure-eligible population is 35,261. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5566,"HC.9","KS","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.289","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 Reported Data."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5567,"HC.9","KS","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.792","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 Reported Data."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5568,"HC.9","LA","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.378","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5569,"HC.9","LA","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.826","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5570,"HC.9","ME","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.206","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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."" State noted: ""Because the state does not have access to Maine Immunization Information System (ImmPact) data, measure results may be inaccurate and some measure-eligible data may be missing.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5571,"HC.9","ME","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.548","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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."" State noted: ""Because the state does not have access to Maine Immunization Information System (ImmPact) data, measure results may be inaccurate and some measure-eligible data may be missing.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5572,"HC.9","MD","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.449","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 (8 MCOs). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Denominator is the sample size; measure-eligible population is 35,303. Rates were audited or validated. State noted: ""CareFirst reported IMA administratively. Therefore the data do not include CareFirst data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5573,"HC.9","MD","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.857","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 (8 MCOs). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Denominator is the sample size; measure-eligible population is 35,303. Rates were audited or validated. State noted: ""CareFirst reported IMA administratively. Therefore the data do not include CareFirst data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5574,"HC.9","MA","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.509","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated. State noted: ""One plan used administrative only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5575,"HC.9","MA","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.851","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated. State noted: ""One plan used administrative only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5576,"HC.9","MI","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.308","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated. The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5577,"HC.9","MI","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.77","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims and medical records review."" Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated. The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5578,"HC.9","MN","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.311","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. State noted: ""Data source includes paid and denied claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5579,"HC.9","MN","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.765","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. State noted: ""Data source includes paid and denied claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5580,"HC.9","MS","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.197","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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."" Denominator is the sample size; measure-eligible population is 13,145.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5581,"HC.9","MS","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.512","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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."" Denominator is the sample size; measure-eligible population is 13,145.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5582,"HC.9","MO","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.23","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). State reported that rates exclude the following populations: ""Our MCOs reported this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Denominator is the sample size; measure-eligible population is 29,612. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5583,"HC.9","MO","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.545","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). State reported that rates exclude the following populations: ""Our MCOs reported this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Denominator is the sample size; measure-eligible population is 29,612. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5584,"HC.9","NE","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.33","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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."" Denominator is the sample size; measure-eligible population is 9,233.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5585,"HC.9","NE","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.807","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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."" Denominator is the sample size; measure-eligible population is 9,233.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5586,"HC.9","NV","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.357","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5587,"HC.9","NV","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.837","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5588,"HC.9","NV","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","CHIP only","Administrative & Hybrid","0.443","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",195
5589,"HC.9","NV","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","CHIP only","Administrative & Hybrid","0.903","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",196
5590,"HC.9","NH","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.334","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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."" 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."" Denominator is the sample size; measure-eligible population is 4,969. Rates were audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5591,"HC.9","NH","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.719","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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."" 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."" Denominator is the sample size; measure-eligible population is 4,969. Rates were audited or validated. State noted: ""Submitted values were based on HEDIS data for reporting year 2023.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5592,"HC.9","NJ","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.338","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""HEDIS measurement year 2022 hybrid collection method submitted by four of the MCOs. HEDIS measurement year 2022 administrative collection method submitted by one MCO."" The measure-eligible population is 41,445. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5593,"HC.9","NJ","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.888","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""HEDIS measurement year 2022 hybrid collection method submitted by four of the MCOs. HEDIS measurement year 2022 administrative collection method submitted by one MCO."" The measure-eligible population is 41,445. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5594,"HC.9","NM","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.348","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rates were derived using both administrative and hybrid method data. The measure-eligible population is 16,882. Rates were audited or validated. State noted: ""New Mexico's final reported rates for IMA include a weighted methodology due to one MCO reporting Administrative HEDIS data and two MCOs reporting Hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5595,"HC.9","NM","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.823","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rates were derived using both administrative and hybrid method data. The measure-eligible population is 16,882. Rates were audited or validated. State noted: ""New Mexico's final reported rates for IMA include a weighted methodology due to one MCO reporting Administrative HEDIS data and two MCOs reporting Hybrid HEDIS data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5596,"HC.9","NY","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.464","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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."" Denominator is the sample size; measure-eligible population is 120,565. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5597,"HC.9","NY","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.871","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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."" Denominator is the sample size; measure-eligible population is 120,565. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5598,"HC.9","NC","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.306","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5599,"HC.9","NC","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.838","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Rates were audited or validated. State noted: ""The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5600,"HC.9","NC","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.325","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. 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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",195
5601,"HC.9","NC","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.878","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. 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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",196
5602,"HC.9","ND","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.595","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5603,"HC.9","ND","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.879","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5604,"HC.9","OH","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.294","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 hybrid or administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" The measure-eligible population is 58,535. Rates were audited or validated. State noted: ""For four plans, the denominator represents a systematic sample drawn from the eligible population; numerator includes documentation of immunizations for adolescents in medical records. For one plan, the results were calculated using claims/administrative data to include results for the entire denominator population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5605,"HC.9","OH","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.757","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 hybrid or administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans."" The measure-eligible population is 58,535. Rates were audited or validated. State noted: ""For four plans, the denominator represents a systematic sample drawn from the eligible population; numerator includes documentation of immunizations for adolescents in medical records. For one plan, the results were calculated using claims/administrative data to include results for the entire denominator population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5606,"HC.9","OK","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.243","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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."" Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5607,"HC.9","OK","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.616","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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."" Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5608,"HC.9","OR","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.343","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5609,"HC.9","OR","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.636","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5610,"HC.9","PA","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.402","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5611,"HC.9","PA","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.873","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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. Each MCO calculated its hybrid rates following strict HEDIS specifications."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5612,"HC.9","PR","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.263","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOS reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5613,"HC.9","PR","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.537","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOS reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5614,"HC.9","RI","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.474","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 derived using both administrative and hybrid method data. Two health plans used administrative data and one health plan used hybrid data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5615,"HC.9","RI","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.839","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 derived using both administrative and hybrid method data. Two health plans used administrative data and one health plan used hybrid data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5616,"HC.9","SC","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.336","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 33,379. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5617,"HC.9","SC","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.723","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the sample size; measure-eligible population is 33,379. State noted: ""Population restricted to full Medicaid beneficiaries enrolled in MCO plan. Instead of using Administrative Rates, plan-submitted hybrid rates have been combined into an overall state rate using the weighted methodology.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5618,"HC.9","SD","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.354","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5619,"HC.9","SD","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.676","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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. Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5620,"HC.9","TN","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.315","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5621,"HC.9","TN","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.732","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5622,"HC.9","TX","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.422","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 derived using both administrative and hybrid method data. For FFY 2023 IMA, Texas State of Texas Access Reform (STAR) and STAR Kids used hybrid data collection method, while STAR Health and FFS contributed administrative data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5623,"HC.9","TX","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid only","Administrative & Hybrid","0.849","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 derived using both administrative and hybrid method data. For FFY 2023 IMA, Texas State of Texas Access Reform (STAR) and STAR Kids used hybrid data collection method, while STAR Health and FFS contributed administrative data. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5624,"HC.9","TX","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.46","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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."" Denominator is the sample size; measure-eligible population is 2,963. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",195
5625,"HC.9","TX","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.906","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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."" Denominator is the sample size; measure-eligible population is 2,963. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",196
5626,"HC.9","UT","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.21","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5627,"HC.9","UT","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.516","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5628,"HC.9","UT","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.406","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",195
5629,"HC.9","UT","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.899","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",196
5630,"HC.9","VT","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.302","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5631,"HC.9","VT","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.736","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5632,"HC.9","VA","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.351","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). State reported that rates exclude the following populations: ""The denominator represents the state NCQA Quality Compass HEDIS rate and excludes the fee-for-service population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the hybrid methodology. The six MCOs also utilized data from the immunization registry to report this measure."" Sample size and measure-eligible population are not available. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5633,"HC.9","VA","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Hybrid","0.815","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). State reported that rates exclude the following populations: ""The denominator represents the state NCQA Quality Compass HEDIS rate and excludes the fee-for-service population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Virginia used the audited HEDIS rates from NCQA Quality Compass to report this measure; the six MCOs used the hybrid methodology. The six MCOs also utilized data from the immunization registry to report this measure."" Sample size and measure-eligible population are not available. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5634,"HC.9","WA","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.312","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters. State included age-inappropriate or combination vaccines for Tdap that were outside of specifications but have occurred in our Immunization Information System data. State does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5635,"HC.9","WA","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.698","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). Administrative data sources are claims/encounters and state immunization registry/immunization information systems. State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters. State included age-inappropriate or combination vaccines for Tdap that were outside of specifications but have occurred in our Immunization Information System data. State does not have access to SNOMED codes and was unable to check for numerator compliant exclusions for anaphylaxis or encephalitis for several vaccines.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5636,"HC.9","WV","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.251","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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). State reported that rates exclude the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System."" Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5637,"HC.9","WV","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid only","Hybrid","0.801","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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). State reported that rates exclude the following populations: ""Medicaid FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based System."" Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5638,"HC.9","WV","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.285","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 (3 MCOs). State reported that rates exclude the following populations: ""FFS population."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",195
5639,"HC.9","WV","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","CHIP only","Hybrid","0.871","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 (3 MCOs). State reported that rates exclude the following populations: ""FFS population."" Administrative data source is state immunization registry/immunization information systems. The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems."" Denominator is the sample size, which is equivalent to the measure-eligible population. Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",196
5640,"HC.9","WI","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.372","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rates were derived using both administrative and hybrid method data. Five out of 14 HMO plans used the administrative method and 9 out of 14 HMO plans used the hybrid method. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5641,"HC.9","WI","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative & Hybrid","0.736","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rates were derived using both administrative and hybrid method data. Five out of 14 HMO plans used the administrative method and 9 out of 14 HMO plans used the hybrid method. Denominator is the measure-eligible population. Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5642,"HC.9","WY","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.455","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5643,"HC.9","WY","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.443","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5644,"HC.9","MT","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5645,"HC.9","IA","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5646,"HC.9","ID","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5647,"HC.9","KY","Immunization Type","Human Papillomavirus (HPV) Vaccine","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Completed the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday",True,"percent","48","0.337","","0.595","0.036","0.299","0.4","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",195
5648,"HC.9","MT","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5649,"HC.9","IA","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5650,"HC.9","ID","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5651,"HC.9","KY","Immunization Type","Combination 1","1","","","","","","","","","","","","","2023","","","","higher","Percentage Up to Date on Recommended Immunizations (Combination 1) by Their 13th Birthday",True,"percent","47","0.765","","0.888","0.112","0.676","0.838","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",196
5652,"HC.91","AL","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.635","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Intellectual Disabilities (ID) Waiver, Living at Home (LAH) Waiver, and Community Waiver Program (CWP) enrollees. Funding sources include 1915(c) waivers and an 1115 demonstration. Total number of enrollees included in the programs is 5,147. The state provided the following information about the sampling or survey methodology: Proportionate sample by region.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5653,"HC.91","AL","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.894","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Intellectual Disabilities (ID) Waiver, Living at Home (LAH) Waiver, and Community Waiver Program (CWP) enrollees. Funding sources include 1915(c) waivers and an 1115 demonstration. Total number of enrollees included in the programs is 5,147. The state provided the following information about the sampling or survey methodology: Proportionate sample by region.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5654,"HC.91","AL","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.914","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Intellectual Disabilities (ID) Waiver, Living at Home (LAH) Waiver, and Community Waiver Program (CWP) enrollees. Funding sources include 1915(c) waivers and an 1115 demonstration. Total number of enrollees included in the programs is 5,147. The state provided the following information about the sampling or survey methodology: Proportionate sample by region.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5655,"HC.91","AR","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.637","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community and Employment Support (CES) Waiver enrollees. Funding source includes a combination 1915(b)/(c) waiver. Total number of enrollees included in the program is 4,407. The state provided the following information about the sampling or survey methodology: Proportionate by supportive living provider.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5656,"HC.91","AR","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.895","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community and Employment Support (CES) Waiver enrollees. Funding source includes a combination 1915(b)/(c) waiver. Total number of enrollees included in the program is 4,407. The state provided the following information about the sampling or survey methodology: Proportionate by supportive living provider.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5657,"HC.91","AR","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.993","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community and Employment Support (CES) Waiver enrollees. Funding source includes a combination 1915(b)/(c) waiver. Total number of enrollees included in the program is 4,407. The state provided the following information about the sampling or survey methodology: Proportionate by supportive living provider.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5658,"HC.91","CT","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.539","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Comprehensive Waiver, Individual and Family Supports Waiver, and Employment and Day Supports Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 10,686. The state provided the following information about the sampling or survey methodology: Stratified by case manager. Individuals receiving services in an ICF/IID or outside of waivers are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5659,"HC.91","CT","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.855","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Comprehensive Waiver, Individual and Family Supports Waiver, and Employment and Day Supports Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 10,686. The state provided the following information about the sampling or survey methodology: Stratified by case manager. Individuals receiving services in an ICF/IID or outside of waivers are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5660,"HC.91","CT","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.984","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Comprehensive Waiver, Individual and Family Supports Waiver, and Employment and Day Supports Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 10,686. The state provided the following information about the sampling or survey methodology: Stratified by case manager. Individuals receiving services in an ICF/IID or outside of waivers are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5661,"HC.91","DE","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not reported for [stratification]","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community Based Services (HCBS) 1915(c) Lifespan Waiver, State Plan, or State Funding enrollees. Funding sources include a 1915(c) waiver, state plan, or state funding. Total number of enrollees included in the programs is 2,261. The state provided the following information about the sampling or survey methodology: Proportionate by county and by case management type. The Life Decisions Scale is not reported due to missing background information, which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5662,"HC.91","DE","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.852","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community Based Services (HCBS) 1915(c) Lifespan Waiver, State Plan, or State Funding enrollees. Funding sources include a 1915(c) waiver, state plan, or state funding. Total number of enrollees included in the programs is 2,261. The state provided the following information about the sampling or survey methodology: Proportionate by county and by case management type. The Life Decisions Scale is not reported due to missing background information, which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5663,"HC.91","DE","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.932","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community Based Services (HCBS) 1915(c) Lifespan Waiver, State Plan, or State Funding enrollees. Funding sources include a 1915(c) waiver, state plan, or state funding. Total number of enrollees included in the programs is 2,261. The state provided the following information about the sampling or survey methodology: Proportionate by county and by case management type. The Life Decisions Scale is not reported due to missing background information, which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5664,"HC.91","DC","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not reported for [stratification]","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community Based Services (HCBS) Waiver enrollees. Funding source includes a combination 1915(b)/(c) waiver. Total number of enrollees included in the program is 2,413. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from a state plan option are excluded from this sample. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5665,"HC.91","DC","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.865","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community Based Services (HCBS) Waiver enrollees. Funding source includes a combination 1915(b)/(c) waiver. Total number of enrollees included in the program is 2,413. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from a state plan option are excluded from this sample. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5666,"HC.91","DC","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.884","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community Based Services (HCBS) Waiver enrollees. Funding source includes a combination 1915(b)/(c) waiver. Total number of enrollees included in the program is 2,413. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from a state plan option are excluded from this sample. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5667,"HC.91","GA","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.708","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Comprehensive Supports Waiver (COMP), New Options Waiver (NOW), and State Funded Services (SFS) enrollees. Funding sources include 1915(c) waivers and state funding. Total number of enrollees included in the programs is 9,044. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5668,"HC.91","GA","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.928","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Comprehensive Supports Waiver (COMP), New Options Waiver (NOW), and State Funded Services (SFS) enrollees. Funding sources include 1915(c) waivers and state funding. Total number of enrollees included in the programs is 9,044. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5669,"HC.91","GA","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.986","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Comprehensive Supports Waiver (COMP), New Options Waiver (NOW), and State Funded Services (SFS) enrollees. Funding sources include 1915(c) waivers and state funding. Total number of enrollees included in the programs is 9,044. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5670,"HC.91","HI","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.557","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Developmental Disabilities Division (DDD) Medicaid Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 2,669. The state provided the following information about the sampling or survey methodology: Simple random sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5671,"HC.91","HI","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.779","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Developmental Disabilities Division (DDD) Medicaid Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 2,669. The state provided the following information about the sampling or survey methodology: Simple random sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5672,"HC.91","HI","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.949","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Developmental Disabilities Division (DDD) Medicaid Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 2,669. The state provided the following information about the sampling or survey methodology: Simple random sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5673,"HC.91","IL","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.708","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Adult Home and Community Based Services (HCBS) Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 22,376. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals in state operated developmental centers (SODC) or intermediate care facilities (ICF) are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5674,"HC.91","IL","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.962","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Adult Home and Community Based Services (HCBS) Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 22,376. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals in state operated developmental centers (SODC) or intermediate care facilities (ICF) are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5675,"HC.91","IL","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.967","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Adult Home and Community Based Services (HCBS) Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 22,376. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals in state operated developmental centers (SODC) or intermediate care facilities (ICF) are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5676,"HC.91","IN","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.52","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community Integration and Habilitation Waiver (CIH), Family Supports Waiver (FSW), and Supervised Group Living (SGL) program enrollees. Funding sources include 1915(c) waivers and ICF/IDD funding. Total number of enrollees included in the programs is 24,764. The state provided the following information about the sampling or survey methodology: Proportionate sample by BDDS program.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5677,"HC.91","IN","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.864","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community Integration and Habilitation Waiver (CIH), Family Supports Waiver (FSW), and Supervised Group Living (SGL) program enrollees. Funding sources include 1915(c) waivers and ICF/IDD funding. Total number of enrollees included in the programs is 24,764. The state provided the following information about the sampling or survey methodology: Proportionate sample by BDDS program.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5678,"HC.91","IN","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.943","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community Integration and Habilitation Waiver (CIH), Family Supports Waiver (FSW), and Supervised Group Living (SGL) program enrollees. Funding sources include 1915(c) waivers and ICF/IDD funding. Total number of enrollees included in the programs is 24,764. The state provided the following information about the sampling or survey methodology: Proportionate sample by BDDS program.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5679,"HC.91","KS","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.637","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Intellectual/Developmental Disability (I/DD) Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 8,200. The state provided the following information about the sampling or survey methodology: Proportionate sample by Community Developmental Disability Organization (CDDO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5680,"HC.91","KS","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.888","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Intellectual/Developmental Disability (I/DD) Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 8,200. The state provided the following information about the sampling or survey methodology: Proportionate sample by Community Developmental Disability Organization (CDDO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5681,"HC.91","KS","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.98","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Intellectual/Developmental Disability (I/DD) Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 8,200. The state provided the following information about the sampling or survey methodology: Proportionate sample by Community Developmental Disability Organization (CDDO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5682,"HC.91","KY","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.691","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Supports for Community Living (SCL) and Michelle P Waivers enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 10,858. The state provided the following information about the sampling or survey methodology: Proportionate by waiver/program. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5683,"HC.91","KY","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.971","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Supports for Community Living (SCL) and Michelle P Waivers enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 10,858. The state provided the following information about the sampling or survey methodology: Proportionate by waiver/program. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5684,"HC.91","KY","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.756","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Supports for Community Living (SCL) and Michelle P Waivers enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 10,858. The state provided the following information about the sampling or survey methodology: Proportionate by waiver/program. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5685,"HC.91","MD","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.582","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community Pathways Waiver, Community Supports Waiver, and Family Supports Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 17,535. The state provided the following information about the sampling or survey methodology: Proportionate by funding stream. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5686,"HC.91","MD","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.91","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community Pathways Waiver, Community Supports Waiver, and Family Supports Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 17,535. The state provided the following information about the sampling or survey methodology: Proportionate by funding stream. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5687,"HC.91","MD","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.95","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community Pathways Waiver, Community Supports Waiver, and Family Supports Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 17,535. The state provided the following information about the sampling or survey methodology: Proportionate by funding stream. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5688,"HC.91","MI","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.693","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community Based Services (HCBS) 1915(c) Waiver and 1115/1915(i) enrollees. Funding sources include a 1915(c) waiver and a combination 1115 demonstration/1915(i) state plan option. Total number of enrollees included in the programs is 26,368. The state provided the following information about the sampling or survey methodology: Simple random sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5689,"HC.91","MI","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.95","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community Based Services (HCBS) 1915(c) Waiver and 1115/1915(i) enrollees. Funding sources include a 1915(c) waiver and a combination 1115 demonstration/1915(i) state plan option. Total number of enrollees included in the programs is 26,368. The state provided the following information about the sampling or survey methodology: Simple random sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5690,"HC.91","MI","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.925","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community Based Services (HCBS) 1915(c) Waiver and 1115/1915(i) enrollees. Funding sources include a 1915(c) waiver and a combination 1115 demonstration/1915(i) state plan option. Total number of enrollees included in the programs is 26,368. The state provided the following information about the sampling or survey methodology: Simple random sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5691,"HC.91","MN","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not reported for [stratification]","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Developmental Disabilities (DD) Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 17,714. The state provided the following information about the sampling or survey methodology: Simple random sample. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5692,"HC.91","MN","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.861","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Developmental Disabilities (DD) Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 17,714. The state provided the following information about the sampling or survey methodology: Simple random sample. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5693,"HC.91","MN","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.933","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Developmental Disabilities (DD) Waiver enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 17,714. The state provided the following information about the sampling or survey methodology: Simple random sample. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5694,"HC.91","MO","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.712","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Entire DD population of adults age 18 and older who receive at least one authorized service in addition to support coordination enrollees. Funding sources include a 1915(c) waiver, state plan funding, and general revenue. Total number of enrollees included in the program is 15,464. The state provided the following information about the sampling or survey methodology: The number of surveys assigned to each strata (region) is based upon the number of QASs assigned to each regional office. Each full-time QAS is assigned 13 surveys.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5695,"HC.91","MO","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.951","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Entire DD population of adults age 18 and older who receive at least one authorized service in addition to support coordination enrollees. Funding sources include a 1915(c) waiver, state plan funding, and general revenue. Total number of enrollees included in the program is 15,464. The state provided the following information about the sampling or survey methodology: The number of surveys assigned to each strata (region) is based upon the number of QASs assigned to each regional office. Each full-time QAS is assigned 13 surveys.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5696,"HC.91","MO","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.935","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Entire DD population of adults age 18 and older who receive at least one authorized service in addition to support coordination enrollees. Funding sources include a 1915(c) waiver, state plan funding, and general revenue. Total number of enrollees included in the program is 15,464. The state provided the following information about the sampling or survey methodology: The number of surveys assigned to each strata (region) is based upon the number of QASs assigned to each regional office. Each full-time QAS is assigned 13 surveys.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5697,"HC.91","MT","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.548","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community-Based Waiver for Individuals with Developmental Disabilities enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 2,352. The state provided the following information about the sampling or survey methodology: Simple random sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5698,"HC.91","MT","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.936","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community-Based Waiver for Individuals with Developmental Disabilities enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 2,352. The state provided the following information about the sampling or survey methodology: Simple random sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5699,"HC.91","MT","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.935","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community-Based Waiver for Individuals with Developmental Disabilities enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 2,352. The state provided the following information about the sampling or survey methodology: Simple random sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5700,"HC.91","NE","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.719","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include 4154 Home and Community Based Services (HCBS) Comprehensive Waiver and ICF/IID enrollees. Funding sources include a 1915(c) waiver and ICF/IID funding. Total number of enrollees included in the programs is 4,852. The state provided the following information about the sampling or survey methodology: Proportionate sample by District and ICF.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5701,"HC.91","NE","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.965","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include 4154 Home and Community Based Services (HCBS) Comprehensive Waiver and ICF/IID enrollees. Funding sources include a 1915(c) waiver and ICF/IID funding. Total number of enrollees included in the programs is 4,852. The state provided the following information about the sampling or survey methodology: Proportionate sample by District and ICF.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5702,"HC.91","NE","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.887","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include 4154 Home and Community Based Services (HCBS) Comprehensive Waiver and ICF/IID enrollees. Funding sources include a 1915(c) waiver and ICF/IID funding. Total number of enrollees included in the programs is 4,852. The state provided the following information about the sampling or survey methodology: Proportionate sample by District and ICF.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5703,"HC.91","NV","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.615","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community-Based Services (HCBS) Waiver for Individuals with Intellectual and Developmental Disabilities enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 2,551. The state provided the following information about the sampling or survey methodology: Proportionate sample by region. Individuals receiving only Targeted Case Management (TCM) services; residing in institutional settings; or receiving TCM and family support services only are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5704,"HC.91","NV","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.91","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community-Based Services (HCBS) Waiver for Individuals with Intellectual and Developmental Disabilities enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 2,551. The state provided the following information about the sampling or survey methodology: Proportionate sample by region. Individuals receiving only Targeted Case Management (TCM) services; residing in institutional settings; or receiving TCM and family support services only are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5705,"HC.91","NV","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.934","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Home and Community-Based Services (HCBS) Waiver for Individuals with Intellectual and Developmental Disabilities enrollees. Funding source includes a 1915(c) waiver. Total number of enrollees included in the program is 2,551. The state provided the following information about the sampling or survey methodology: Proportionate sample by region. Individuals receiving only Targeted Case Management (TCM) services; residing in institutional settings; or receiving TCM and family support services only are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5706,"HC.91","NH","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.354","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Developmental Disabilities (DD) Waiver and Acquired Brain Disorder Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 4,554. The state provided the following information about the sampling or survey methodology: Proportionate sample by area agency.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5707,"HC.91","NH","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.907","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Developmental Disabilities (DD) Waiver and Acquired Brain Disorder Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 4,554. The state provided the following information about the sampling or survey methodology: Proportionate sample by area agency.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5708,"HC.91","NH","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.735","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Developmental Disabilities (DD) Waiver and Acquired Brain Disorder Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 4,554. The state provided the following information about the sampling or survey methodology: Proportionate sample by area agency.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5709,"HC.91","NJ","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.473","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Supports Program and Community Care Program enrollees. Funding source includes an 1115 demonstration. Total number of enrollees included in the programs is 25,307. The state provided the following information about the sampling or survey methodology: Proportionate sample by program/waiver and geographic region. Individuals in Developmental Centers are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5710,"HC.91","NJ","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.885","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Supports Program and Community Care Program enrollees. Funding source includes an 1115 demonstration. Total number of enrollees included in the programs is 25,307. The state provided the following information about the sampling or survey methodology: Proportionate sample by program/waiver and geographic region. Individuals in Developmental Centers are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5711,"HC.91","NJ","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.914","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Supports Program and Community Care Program enrollees. Funding source includes an 1115 demonstration. Total number of enrollees included in the programs is 25,307. The state provided the following information about the sampling or survey methodology: Proportionate sample by program/waiver and geographic region. Individuals in Developmental Centers are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5712,"HC.91","NY","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.401","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Individuals enrolled in one service in addition to Care Management; Partners Health Plan (PHP), Fully Integrated Duals Advantage – Intellectual and/or Developmental Disabilities (FIDA-IDD) enrollees. Funding sources include a 1915(c) waiver, state funding, Partners Health Plan (PHP) funding, FIDA-IDD funding. Total number of enrollees included in the programs is 95,000. The state provided the following information about the sampling or survey methodology: Proportionate sample by Care Coordination Organization (CCO)/PHP/FIDA-IDD enrollees. Individuals who have completed a CAS assessment within the calendar year are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5713,"HC.91","NY","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.861","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Individuals enrolled in one service in addition to Care Management; Partners Health Plan (PHP), Fully Integrated Duals Advantage – Intellectual and/or Developmental Disabilities (FIDA-IDD) enrollees. Funding sources include a 1915(c) waiver, state funding, Partners Health Plan (PHP) funding, FIDA-IDD funding. Total number of enrollees included in the programs is 95,000. The state provided the following information about the sampling or survey methodology: Proportionate sample by Care Coordination Organization (CCO)/PHP/FIDA-IDD enrollees. Individuals who have completed a CAS assessment within the calendar year are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5714,"HC.91","NY","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.929","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Individuals enrolled in one service in addition to Care Management; Partners Health Plan (PHP), Fully Integrated Duals Advantage – Intellectual and/or Developmental Disabilities (FIDA-IDD) enrollees. Funding sources include a 1915(c) waiver, state funding, Partners Health Plan (PHP) funding, FIDA-IDD funding. Total number of enrollees included in the programs is 95,000. The state provided the following information about the sampling or survey methodology: Proportionate sample by Care Coordination Organization (CCO)/PHP/FIDA-IDD enrollees. Individuals who have completed a CAS assessment within the calendar year are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5715,"HC.91","NC","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.64","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include ICF-IID (Community Based), Developmental Centers, Innovations Waiver, (b)(3) Services, and Medicaid State Plan enrollees. Funding sources include ICF/IID funding, a 1915(c) waiver, a 1915(b) waiver, and state plan funding. Total number of enrollees included in the programs is 13,303. The state provided the following information about the sampling or survey methodology: Proportionate sample based on LME/MCO and state ICFs. Individuals receiving state-funded IDD services are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5716,"HC.91","NC","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.884","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include ICF-IID (Community Based), Developmental Centers, Innovations Waiver, (b)(3) Services, and Medicaid State Plan enrollees. Funding sources include ICF/IID funding, a 1915(c) waiver, a 1915(b) waiver, and state plan funding. Total number of enrollees included in the programs is 13,303. The state provided the following information about the sampling or survey methodology: Proportionate sample based on LME/MCO and state ICFs. Individuals receiving state-funded IDD services are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5717,"HC.91","NC","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.982","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include ICF-IID (Community Based), Developmental Centers, Innovations Waiver, (b)(3) Services, and Medicaid State Plan enrollees. Funding sources include ICF/IID funding, a 1915(c) waiver, a 1915(b) waiver, and state plan funding. Total number of enrollees included in the programs is 13,303. The state provided the following information about the sampling or survey methodology: Proportionate sample based on LME/MCO and state ICFs. Individuals receiving state-funded IDD services are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5718,"HC.91","OK","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.703","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include In-Home Supports Waiver – Adult, Community Waiver – Non-Residential, Community Waiver – Residential, and Homeward Bound Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 5,358. The state provided the following information about the sampling or survey methodology: Proportionate sample by waiver.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5719,"HC.91","OK","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.9","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include In-Home Supports Waiver – Adult, Community Waiver – Non-Residential, Community Waiver – Residential, and Homeward Bound Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 5,358. The state provided the following information about the sampling or survey methodology: Proportionate sample by waiver.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5720,"HC.91","OK","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.955","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include In-Home Supports Waiver – Adult, Community Waiver – Non-Residential, Community Waiver – Residential, and Homeward Bound Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 5,358. The state provided the following information about the sampling or survey methodology: Proportionate sample by waiver.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5721,"HC.91","OR","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.667","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include In Home-Direct Services Only, In-Home-Day Supports Only, In Home-Employment Services and Day Support, In Home- Employment Services Only, 24-Hour Residential Services for Adults, Adult Foster Care, Supported Living Services for Adults, and Stabilization and Crisis Unit enrollees. Funding sources include Case management waiver and Employment and Community First Choice 1915(k) state plan option. Total number of enrollees included in the programs is 18,553. The state provided the following information about the sampling or survey methodology: Stratified by setting, county, and race/ethnicity.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5722,"HC.91","OR","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.93","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include In Home-Direct Services Only, In-Home-Day Supports Only, In Home-Employment Services and Day Support, In Home- Employment Services Only, 24-Hour Residential Services for Adults, Adult Foster Care, Supported Living Services for Adults, and Stabilization and Crisis Unit enrollees. Funding sources include Case management waiver and Employment and Community First Choice 1915(k) state plan option. Total number of enrollees included in the programs is 18,553. The state provided the following information about the sampling or survey methodology: Stratified by setting, county, and race/ethnicity.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5723,"HC.91","OR","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.916","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include In Home-Direct Services Only, In-Home-Day Supports Only, In Home-Employment Services and Day Support, In Home- Employment Services Only, 24-Hour Residential Services for Adults, Adult Foster Care, Supported Living Services for Adults, and Stabilization and Crisis Unit enrollees. Funding sources include Case management waiver and Employment and Community First Choice 1915(k) state plan option. Total number of enrollees included in the programs is 18,553. The state provided the following information about the sampling or survey methodology: Stratified by setting, county, and race/ethnicity.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5724,"HC.91","PA","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.594","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Consolidated Waiver, Person/Family-Directed Supports (P/FDS) Waiver, Community Living Waiver, Base Funding, and ICF/IID enrollees. Funding sources include 1915(c) waivers, state plan, and ICF/IID funding. Total number of enrollees included in the programs is 38,918. The state provided the following information about the sampling or survey methodology: Stratified by administrative entity.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5725,"HC.91","PA","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.95","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Consolidated Waiver, Person/Family-Directed Supports (P/FDS) Waiver, Community Living Waiver, Base Funding, and ICF/IID enrollees. Funding sources include 1915(c) waivers, state plan, and ICF/IID funding. Total number of enrollees included in the programs is 38,918. The state provided the following information about the sampling or survey methodology: Stratified by administrative entity.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5726,"HC.91","PA","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.959","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Consolidated Waiver, Person/Family-Directed Supports (P/FDS) Waiver, Community Living Waiver, Base Funding, and ICF/IID enrollees. Funding sources include 1915(c) waivers, state plan, and ICF/IID funding. Total number of enrollees included in the programs is 38,918. The state provided the following information about the sampling or survey methodology: Stratified by administrative entity.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5727,"HC.91","SC","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.587","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Day and Employment Services, In-home Supports, and Residential Service enrollees. Funding sources include 1915(c) waivers and state funding. Total number of enrollees included in the programs is 11,481. The state provided the following information about the sampling or survey methodology: Stratified sample by agency and service type. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5728,"HC.91","SC","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.889","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Day and Employment Services, In-home Supports, and Residential Service enrollees. Funding sources include 1915(c) waivers and state funding. Total number of enrollees included in the programs is 11,481. The state provided the following information about the sampling or survey methodology: Stratified sample by agency and service type. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5729,"HC.91","SC","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.948","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Day and Employment Services, In-home Supports, and Residential Service enrollees. Funding sources include 1915(c) waivers and state funding. Total number of enrollees included in the programs is 11,481. The state provided the following information about the sampling or survey methodology: Stratified sample by agency and service type. Individuals receiving services in an ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5730,"HC.91","TX","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.496","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include HCBS 1915(c) Waiver program, Community Living Assistance and Support Services (CLASS), Texas Home Living (TxHmL), and Deaf Blind with Multiple Disabilities (DBMD) enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 41,100. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID); State Supported Living Centers (SSLC); and Community-based ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5731,"HC.91","TX","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.79","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include HCBS 1915(c) Waiver program, Community Living Assistance and Support Services (CLASS), Texas Home Living (TxHmL), and Deaf Blind with Multiple Disabilities (DBMD) enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 41,100. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID); State Supported Living Centers (SSLC); and Community-based ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5732,"HC.91","TX","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.855","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include HCBS 1915(c) Waiver program, Community Living Assistance and Support Services (CLASS), Texas Home Living (TxHmL), and Deaf Blind with Multiple Disabilities (DBMD) enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 41,100. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID); State Supported Living Centers (SSLC); and Community-based ICF/IID are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5733,"HC.91","UT","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.58","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community Supports Waiver/Acquired Brain Injury Waiver and Utah State Developmental Center (USDC) enrollees. Funding sources include 1915(c) waivers and ICF/IID funding. Total number of enrollees included in the programs is 5,454. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from the Community Supports Waiver or Acquired Brain Injury Waiver who were included in the previous year's sample are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5734,"HC.91","UT","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.906","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community Supports Waiver/Acquired Brain Injury Waiver and Utah State Developmental Center (USDC) enrollees. Funding sources include 1915(c) waivers and ICF/IID funding. Total number of enrollees included in the programs is 5,454. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from the Community Supports Waiver or Acquired Brain Injury Waiver who were included in the previous year's sample are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5735,"HC.91","UT","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.901","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Community Supports Waiver/Acquired Brain Injury Waiver and Utah State Developmental Center (USDC) enrollees. Funding sources include 1915(c) waivers and ICF/IID funding. Total number of enrollees included in the programs is 5,454. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from the Community Supports Waiver or Acquired Brain Injury Waiver who were included in the previous year's sample are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5736,"HC.91","VA","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.691","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Building Independence Waiver, Family & Individual Supports Waiver, and Community Living Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 14,532. The state provided the following information about the sampling or survey methodology: Proportionate by health planning region. Individuals receiving services in community-based ICF/IID Programs are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5737,"HC.91","VA","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.887","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Building Independence Waiver, Family & Individual Supports Waiver, and Community Living Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 14,532. The state provided the following information about the sampling or survey methodology: Proportionate by health planning region. Individuals receiving services in community-based ICF/IID Programs are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5738,"HC.91","VA","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.955","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Building Independence Waiver, Family & Individual Supports Waiver, and Community Living Waiver enrollees. Funding sources include 1915(c) waivers. Total number of enrollees included in the programs is 14,532. The state provided the following information about the sampling or survey methodology: Proportionate by health planning region. Individuals receiving services in community-based ICF/IID Programs are excluded from this sample.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5739,"HC.91","WI","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not reported for [stratification]","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Family Care and Include, Respect, I Self-Direct (IRIS) enrollees. Funding sources include a 1915(c) waiver, a combination 1915(b)/(c) waiver, and a 1915(j) state plan option. Total number of enrollees included in the programs is 33,403. The state provided the following information about the sampling or survey methodology: Proportionate sample by program and target group. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5740,"HC.91","WI","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.823","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Family Care and Include, Respect, I Self-Direct (IRIS) enrollees. Funding sources include a 1915(c) waiver, a combination 1915(b)/(c) waiver, and a 1915(j) state plan option. Total number of enrollees included in the programs is 33,403. The state provided the following information about the sampling or survey methodology: Proportionate sample by program and target group. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5741,"HC.91","WI","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.865","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Family Care and Include, Respect, I Self-Direct (IRIS) enrollees. Funding sources include a 1915(c) waiver, a combination 1915(b)/(c) waiver, and a 1915(j) state plan option. Total number of enrollees included in the programs is 33,403. The state provided the following information about the sampling or survey methodology: Proportionate sample by program and target group. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5742,"HC.91","WY","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not reported for [stratification]","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Comprehensive Waiver - Adult and Supports Waiver – Adult enrollees. Funding sources include 1915(c) waivers and a 1932(a) state plan program. Total number of enrollees included in the programs is 2,012. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from the Wyoming Life Resource Center are excluded from this sample. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5743,"HC.91","WY","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.891","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Comprehensive Waiver - Adult and Supports Waiver – Adult enrollees. Funding sources include 1915(c) waivers and a 1932(a) state plan program. Total number of enrollees included in the programs is 2,012. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from the Wyoming Life Resource Center are excluded from this sample. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5744,"HC.91","WY","Indicator","Transportation","1","","","","","","","","","","","","","2023","Medicaid","NCI In-Person Survey","0.97","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","State-specific comments: Rates include Comprehensive Waiver - Adult and Supports Waiver – Adult enrollees. Funding sources include 1915(c) waivers and a 1932(a) state plan program. Total number of enrollees included in the programs is 2,012. The state provided the following information about the sampling or survey methodology: Simple random sample. Individuals receiving services from the Wyoming Life Resource Center are excluded from this sample. The Life Decisions Scale is not reported due to missing background information which prevents risk adjustment.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5745,"HC.91","AK","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5746,"HC.91","ND","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5747,"HC.91","NM","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5748,"HC.91","OH","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5749,"HC.91","PR","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5750,"HC.91","RI","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5751,"HC.91","SD","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5752,"HC.91","TN","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5753,"HC.91","VT","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5754,"HC.91","WA","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5755,"HC.91","WV","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5756,"HC.91","MS","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5757,"HC.91","AZ","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5758,"HC.91","CA","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5759,"HC.91","CO","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5760,"HC.91","FL","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5761,"HC.91","IA","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5762,"HC.91","ID","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5763,"HC.91","LA","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5764,"HC.91","MA","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5765,"HC.91","ME","Indicator","Life Decisions","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Make Choices about Their Life Decisions, including Their Residence, Work, Day Activity, Staff, and Roommates",True,"percent","26","0.625","","0.719","0.354","0.548","0.691","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",495
5766,"HC.91","AK","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5767,"HC.91","ND","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5768,"HC.91","NM","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5769,"HC.91","OH","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5770,"HC.91","PR","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5771,"HC.91","RI","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5772,"HC.91","SD","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5773,"HC.91","TN","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5774,"HC.91","VT","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5775,"HC.91","WA","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5776,"HC.91","WV","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5777,"HC.91","MS","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5778,"HC.91","AZ","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5779,"HC.91","CA","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5780,"HC.91","CO","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5781,"HC.91","FL","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5782,"HC.91","IA","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5783,"HC.91","ID","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5784,"HC.91","LA","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5785,"HC.91","MA","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5786,"HC.91","ME","Indicator","Everyday Choices","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time",True,"percent","31","0.894","","0.971","0.779","0.864","0.93","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",496
5787,"HC.91","AK","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5788,"HC.91","ND","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5789,"HC.91","NM","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5790,"HC.91","OH","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5791,"HC.91","PR","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5792,"HC.91","RI","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5793,"HC.91","SD","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5794,"HC.91","TN","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5795,"HC.91","VT","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5796,"HC.91","WA","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5797,"HC.91","WV","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5798,"HC.91","MS","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5799,"HC.91","AZ","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5800,"HC.91","CA","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5801,"HC.91","CO","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5802,"HC.91","FL","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5803,"HC.91","IA","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5804,"HC.91","ID","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5805,"HC.91","LA","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5806,"HC.91","MA","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5807,"HC.91","ME","Indicator","Transportation","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere",True,"percent","31","0.935","","0.993","0.735","0.914","0.959","Not Reported","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, 2022 to June 30, 2023 data collection period, corresponding to the 2023 Core Set, as of May 22, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",497
5808,"HC.92","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.689","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5809,"HC.92","AZ","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.54","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5810,"HC.92","AR","","","","","","","","","","","","","","","","2023","Medicaid & Other","Administrative","0.57","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: ""Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical and chemical dependency (inpatient, residential, and outpatient) benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5811,"HC.92","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.623","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5812,"HC.92","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.609","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5813,"HC.92","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.757","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5814,"HC.92","DE","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.657","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5815,"HC.92","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.537","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5816,"HC.92","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.517","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data"" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5817,"HC.92","HI","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.562","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5818,"HC.92","ID","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.568","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5819,"HC.92","IL","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.628","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5820,"HC.92","IN","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.007","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5821,"HC.92","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.614","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5822,"HC.92","KS","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.303","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5823,"HC.92","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.707","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5824,"HC.92","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.757","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5825,"HC.92","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.738","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5826,"HC.92","MA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.793","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate also includes ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5827,"HC.92","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.624","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5828,"HC.92","MN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.538","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). State noted: ""Rate includes paid claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5829,"HC.92","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.443","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5830,"HC.92","MO","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.717","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5831,"HC.92","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.462","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5832,"HC.92","NV","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.546","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5833,"HC.92","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.843","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" State reported the following deviations: ""Numerator: Added H0033, J1230, Q9991 and Q9992 to the “OUD-B” value set. Denominator: Added F11.9, F11.9xx to the “OUD-A” value set. Utilized all medical claims with an opioid diagnosis. Did not exclude professional claims."" State noted: ""Medicare and Medicaid Dually-Eligible population was excluded. Medicaid enrollment continues to increase due to the population's Medicaid eligibility being protected under the ongoing public health emergency (PHE).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5834,"HC.92","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.602","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""CMS measurement year 2022 administrative collection method submitted by the MCOs."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5835,"HC.92","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.67","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (54 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5836,"HC.92","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.579","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5837,"HC.92","ND","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.545","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5838,"HC.92","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.448","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5839,"HC.92","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.762","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5840,"HC.92","PR","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.282","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5841,"HC.92","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.54","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5842,"HC.92","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.446","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5843,"HC.92","TN","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.569","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5844,"HC.92","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.912","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5845,"HC.92","VA","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.749","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (6 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5846,"HC.92","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.765","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5847,"HC.92","WV","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.718","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: 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 Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5848,"HC.92","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.36","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5849,"HC.92","AK","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5850,"HC.92","NM","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5851,"HC.92","OH","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5852,"HC.92","OR","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5853,"HC.92","RI","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5854,"HC.92","TX","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5855,"HC.92","UT","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5856,"HC.92","WI","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5857,"HC.92","MT","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5858,"HC.92","DC","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5859,"HC.92","KY","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.602","","0.912","0.007","0.538","0.717","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
5860,"HC.94","AL","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.521","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5861,"HC.94","AL","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.467","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5862,"HC.94","AL","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.172","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5863,"HC.94","AL","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.445","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5864,"HC.94","AL","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.551","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",629
5865,"HC.94","AL","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.442","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",630
5866,"HC.94","AL","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.329","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",631
5867,"HC.94","AL","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.495","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",232
5868,"HC.94","AK","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.309","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5869,"HC.94","AK","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.288","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5870,"HC.94","AK","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.077","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5871,"HC.94","AK","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.262","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5872,"HC.94","AZ","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.533","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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. State reported the following deviations: ""Additional provider types were included within the numerator to align with the state's delivery system.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5873,"HC.94","AZ","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.456","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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. State reported the following deviations: ""Additional provider types were included within the numerator to align with the state's delivery system.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5874,"HC.94","AZ","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.218","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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. State reported the following deviations: ""Additional provider types were included within the numerator to align with the state's delivery system.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5875,"HC.94","AZ","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.45","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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. State reported the following deviations: ""Additional provider types were included within the numerator to align with the state's delivery system.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5876,"HC.94","AR","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.503","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""To identify PCPs, state used applicable Medicaid provider types. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5877,"HC.94","AR","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.44","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""To identify PCPs, state used applicable Medicaid provider types. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5878,"HC.94","AR","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.196","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""To identify PCPs, state used applicable Medicaid provider types. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5879,"HC.94","AR","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.431","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State noted: ""To identify PCPs, state used applicable Medicaid provider types. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5880,"HC.94","CA","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.594","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5881,"HC.94","CA","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.547","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5882,"HC.94","CA","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.361","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5883,"HC.94","CA","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.532","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5884,"HC.94","CO","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.49","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5885,"HC.94","CO","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.399","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5886,"HC.94","CO","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.167","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5887,"HC.94","CO","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.4","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5888,"HC.94","CO","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.472","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",629
5889,"HC.94","CO","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.408","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",630
5890,"HC.94","CO","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.239","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",631
5891,"HC.94","CO","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.429","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",232
5892,"HC.94","CT","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.711","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5893,"HC.94","CT","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.675","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5894,"HC.94","CT","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.393","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5895,"HC.94","CT","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.641","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5896,"HC.94","DE","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.607","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5897,"HC.94","DE","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.55","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5898,"HC.94","DE","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.269","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5899,"HC.94","DE","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.532","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5900,"HC.94","DC","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.548","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5901,"HC.94","DC","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.533","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5902,"HC.94","DC","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.296","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5903,"HC.94","DC","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.505","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5904,"HC.94","FL","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.623","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5905,"HC.94","FL","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.533","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5906,"HC.94","FL","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.262","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5907,"HC.94","FL","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.535","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5908,"HC.94","GA","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.539","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5909,"HC.94","GA","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.485","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5910,"HC.94","GA","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.232","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5911,"HC.94","GA","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.479","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5912,"HC.94","HI","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.53","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5913,"HC.94","HI","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.503","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5914,"HC.94","HI","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.223","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5915,"HC.94","HI","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.466","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5916,"HC.94","ID","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.519","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5917,"HC.94","ID","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.424","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5918,"HC.94","ID","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.21","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5919,"HC.94","ID","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.438","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5920,"HC.94","IL","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.513","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5921,"HC.94","IL","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.486","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5922,"HC.94","IL","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.224","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5923,"HC.94","IL","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.452","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5924,"HC.94","IN","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.55","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5925,"HC.94","IN","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.492","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5926,"HC.94","IN","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.25","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5927,"HC.94","IN","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.486","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5928,"HC.94","IA","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.603","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5929,"HC.94","IA","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.575","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5930,"HC.94","IA","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.376","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5931,"HC.94","IA","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.558","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5932,"HC.94","KS","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.52","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5933,"HC.94","KS","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.472","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5934,"HC.94","KS","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.198","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5935,"HC.94","KS","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.453","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5936,"HC.94","KY","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.53","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5937,"HC.94","KY","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.438","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5938,"HC.94","KY","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.206","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5939,"HC.94","KY","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.448","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5940,"HC.94","LA","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.545","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5941,"HC.94","LA","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.512","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5942,"HC.94","LA","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.265","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5943,"HC.94","LA","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.482","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5944,"HC.94","ME","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.563","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5945,"HC.94","ME","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.491","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5946,"HC.94","ME","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.289","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5947,"HC.94","ME","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.497","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5948,"HC.94","MD","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.628","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5949,"HC.94","MD","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.566","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5950,"HC.94","MD","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.354","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5951,"HC.94","MD","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.56","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5952,"HC.94","MA","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.725","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5953,"HC.94","MA","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.678","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5954,"HC.94","MA","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.428","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5955,"HC.94","MA","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.656","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5956,"HC.94","MI","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.592","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims data only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5957,"HC.94","MI","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.504","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims data only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5958,"HC.94","MI","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.283","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims data only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5959,"HC.94","MI","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.509","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims data only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5960,"HC.94","MN","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.5","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5961,"HC.94","MN","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.412","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5962,"HC.94","MN","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.209","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5963,"HC.94","MN","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.42","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5964,"HC.94","MS","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.446","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5965,"HC.94","MS","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.378","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5966,"HC.94","MS","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.209","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5967,"HC.94","MS","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.402","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5968,"HC.94","MO","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.463","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5969,"HC.94","MO","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.398","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5970,"HC.94","MO","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.18","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5971,"HC.94","MO","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.4","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5972,"HC.94","NE","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.499","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5973,"HC.94","NE","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.536","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5974,"HC.94","NE","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.222","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5975,"HC.94","NE","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.468","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5976,"HC.94","NV","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.487","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5977,"HC.94","NV","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.436","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5978,"HC.94","NV","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.199","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5979,"HC.94","NV","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.428","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5980,"HC.94","NV","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.501","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",629
5981,"HC.94","NV","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.497","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",630
5982,"HC.94","NV","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.346","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",631
5983,"HC.94","NV","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.487","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",232
5984,"HC.94","NH","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.666","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5985,"HC.94","NH","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.576","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5986,"HC.94","NH","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.317","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5987,"HC.94","NH","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.575","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5988,"HC.94","NJ","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.666","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5989,"HC.94","NJ","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.612","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5990,"HC.94","NJ","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.379","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5991,"HC.94","NJ","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.598","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5992,"HC.94","NM","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.518","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5993,"HC.94","NM","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.46","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5994,"HC.94","NM","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.18","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5995,"HC.94","NM","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.437","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
5996,"HC.94","NY","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.756","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
5997,"HC.94","NY","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.696","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
5998,"HC.94","NY","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.469","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
5999,"HC.94","NY","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.685","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6000,"HC.94","NC","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.573","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6001,"HC.94","NC","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.493","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6002,"HC.94","NC","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.228","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6003,"HC.94","NC","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.485","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6004,"HC.94","NC","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.547","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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 denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",629
6005,"HC.94","NC","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.549","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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 denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",630
6006,"HC.94","NC","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.384","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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 denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",631
6007,"HC.94","NC","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.531","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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 denominators for this measure contain NC Medicaid Payer data only.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",232
6008,"HC.94","ND","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.364","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6009,"HC.94","ND","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.366","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6010,"HC.94","ND","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.137","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6011,"HC.94","ND","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.342","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6012,"HC.94","OH","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.552","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6013,"HC.94","OH","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.492","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6014,"HC.94","OH","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.247","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6015,"HC.94","OH","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.481","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6016,"HC.94","OK","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.416","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6017,"HC.94","OK","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.332","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6018,"HC.94","OK","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.134","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6019,"HC.94","OK","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.346","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6020,"HC.94","OR","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.506","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6021,"HC.94","OR","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.405","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6022,"HC.94","OR","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.169","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6023,"HC.94","OR","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.412","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6024,"HC.94","PA","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.662","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6025,"HC.94","PA","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.604","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6026,"HC.94","PA","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.392","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6027,"HC.94","PA","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.598","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6028,"HC.94","PR","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.474","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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 source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6029,"HC.94","PR","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.393","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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 source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6030,"HC.94","PR","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.259","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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 source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6031,"HC.94","PR","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.397","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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 source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6032,"HC.94","RI","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.684","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6033,"HC.94","RI","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.63","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6034,"HC.94","RI","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.397","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6035,"HC.94","RI","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.61","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6036,"HC.94","SC","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.511","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6037,"HC.94","SC","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.455","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6038,"HC.94","SC","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.196","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6039,"HC.94","SC","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.443","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6040,"HC.94","SD","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.356","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6041,"HC.94","SD","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.345","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6042,"HC.94","SD","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.126","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6043,"HC.94","SD","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.318","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6044,"HC.94","TN","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.604","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6045,"HC.94","TN","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.511","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6046,"HC.94","TN","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.246","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6047,"HC.94","TN","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.515","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6048,"HC.94","TX","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.623","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6049,"HC.94","TX","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.576","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6050,"HC.94","TX","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.271","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6051,"HC.94","TX","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.555","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6052,"HC.94","TX","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.689","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",629
6053,"HC.94","TX","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.66","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",630
6054,"HC.94","TX","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.494","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",631
6055,"HC.94","TX","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.664","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",232
6056,"HC.94","UT","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.503","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6057,"HC.94","UT","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.414","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6058,"HC.94","UT","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.205","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6059,"HC.94","UT","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.449","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6060,"HC.94","UT","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.608","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",629
6061,"HC.94","UT","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.522","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",630
6062,"HC.94","UT","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.42","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",631
6063,"HC.94","UT","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.565","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",232
6064,"HC.94","VT","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.67","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6065,"HC.94","VT","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.582","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6066,"HC.94","VT","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.29","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6067,"HC.94","VT","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.57","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6068,"HC.94","VA","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.536","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6069,"HC.94","VA","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.443","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6070,"HC.94","VA","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.212","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6071,"HC.94","VA","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.45","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6072,"HC.94","WA","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.536","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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 and denied lines from otherwise accepted encounters. Technical specifications state that the visit must occur with a primary care provider. Washington has assumed that the targeted medical codes will be associated with appropriate personnel and is not applying this screen due to the likelihood of underrepresenting enrollees' qualifying visits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6073,"HC.94","WA","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.442","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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 and denied lines from otherwise accepted encounters. Technical specifications state that the visit must occur with a primary care provider. Washington has assumed that the targeted medical codes will be associated with appropriate personnel and is not applying this screen due to the likelihood of underrepresenting enrollees' qualifying visits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6074,"HC.94","WA","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.185","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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 and denied lines from otherwise accepted encounters. Technical specifications state that the visit must occur with a primary care provider. Washington has assumed that the targeted medical codes will be associated with appropriate personnel and is not applying this screen due to the likelihood of underrepresenting enrollees' qualifying visits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6075,"HC.94","WA","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.446","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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 and denied lines from otherwise accepted encounters. Technical specifications state that the visit must occur with a primary care provider. Washington has assumed that the targeted medical codes will be associated with appropriate personnel and is not applying this screen due to the likelihood of underrepresenting enrollees' qualifying visits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6076,"HC.94","WV","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.203","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6077,"HC.94","WV","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.164","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6078,"HC.94","WV","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.073","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6079,"HC.94","WV","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.165","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6080,"HC.94","WV","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.206","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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 (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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",629
6081,"HC.94","WV","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.183","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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 (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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",630
6082,"HC.94","WV","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.116","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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 (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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",631
6083,"HC.94","WV","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.189","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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 (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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",232
6084,"HC.94","WI","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.513","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6085,"HC.94","WI","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.421","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6086,"HC.94","WI","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.226","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6087,"HC.94","WI","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.432","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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 (14 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6088,"HC.94","WY","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.358","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6089,"HC.94","WY","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.331","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6090,"HC.94","WY","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.11","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6091,"HC.94","WY","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.312","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6092,"HC.94","MT","Age","Ages 3 to 11","1","","","","","","","","","","","","","2023","","","","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11",True,"percent","51","0.533","","0.756","0.203","0.5","0.604","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",629
6093,"HC.94","MT","Age","Ages 12 to 17","1","","","","","","","","","","","","","2023","","","","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17",True,"percent","51","0.485","","0.696","0.164","0.414","0.547","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",630
6094,"HC.94","MT","Age","Ages 18 to 21","1","","","","","","","","","","","","","2023","","","","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21",True,"percent","51","0.224","","0.469","0.073","0.196","0.289","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",631
6095,"HC.94","MT","Age","Total (Ages 3 to 21)","1","","","","","","","","","","","","","2023","","","","higher","Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21",True,"percent","51","0.453","","0.685","0.165","0.428","0.532","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",232
6096,"HC.95","AL","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.573","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6097,"HC.95","AL","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.624","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6098,"HC.95","AL","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.764","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",231
6099,"HC.95","AL","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.849","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",230
6100,"HC.95","AK","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.299","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6101,"HC.95","AK","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.383","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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. State noted: ""There is some underreporting due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6102,"HC.95","AZ","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.568","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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. State reported the following deviations: ""Additional provider types were included within the numerator to align with the state's delivery system.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6103,"HC.95","AZ","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.592","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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. State reported the following deviations: ""Additional provider types were included within the numerator to align with the state's delivery system.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6104,"HC.95","AR","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.502","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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). Rates also include ""other"" populations (ARHOME and Medicare-Medicaid Dual Eligibles). 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 reported the following deviations: ""Numerator: Added newborn care CPT codes 99460 and 99463, per DMS direction."" State noted: ""To identify PCPs, state used applicable Medicaid provider types. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6105,"HC.95","AR","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.551","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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). Rates also include ""other"" populations (ARHOME and Medicare-Medicaid Dual Eligibles). 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 reported the following deviations: ""Numerator: Added newborn care CPT codes 99460 and 99463, per DMS direction."" State noted: ""To identify PCPs, state used applicable Medicaid provider types. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6106,"HC.95","CA","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.443","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6107,"HC.95","CA","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.646","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed care plan administrative data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6108,"HC.95","CO","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.586","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6109,"HC.95","CO","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.615","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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, PCCM, and managed care populations (2 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6110,"HC.95","CO","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.461","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",231
6111,"HC.95","CO","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.591","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",230
6112,"HC.95","CT","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.791","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6113,"HC.95","CT","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.828","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6114,"HC.95","DE","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.617","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6115,"HC.95","DE","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.744","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6116,"HC.95","DC","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.374","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6117,"HC.95","DC","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.531","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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). State reported that rates exclude the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6118,"HC.95","FL","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.602","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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 (13 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6119,"HC.95","FL","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.718","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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 (13 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6120,"HC.95","GA","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.592","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6121,"HC.95","GA","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.664","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6122,"HC.95","HI","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.648","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6123,"HC.95","HI","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.657","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6124,"HC.95","ID","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.598","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6125,"HC.95","ID","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.641","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6126,"HC.95","IL","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.573","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6127,"HC.95","IL","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.61","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6128,"HC.95","IN","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.627","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6129,"HC.95","IN","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.655","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6130,"HC.95","IA","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.601","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6131,"HC.95","IA","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.641","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6132,"HC.95","KS","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.598","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6133,"HC.95","KS","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.607","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6134,"HC.95","KY","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.614","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6135,"HC.95","KY","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.676","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6136,"HC.95","LA","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.569","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6137,"HC.95","LA","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.622","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6138,"HC.95","ME","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.614","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6139,"HC.95","ME","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.714","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6140,"HC.95","MD","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.583","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6141,"HC.95","MD","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.714","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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 (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""claims and supplemental data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6142,"HC.95","MA","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.728","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6143,"HC.95","MA","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.793","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6144,"HC.95","MI","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.601","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims review only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6145,"HC.95","MI","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.609","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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 (9 MCOs). State reported that rates exclude the following populations: ""Fee-for-Service."" The state described the ""other"" data sources used to calculate the measure as the following: ""Claims review only."" Rates were audited or validated. State noted: ""The approximate denominator percentages of the excluded total measure-eligible population (Fee-for-Service) range from 17.8% (Medicaid under age 21) and 23.1% (CHIP under age 21).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6146,"HC.95","MN","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.487","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6147,"HC.95","MN","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.61","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6148,"HC.95","MS","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.588","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6149,"HC.95","MS","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.677","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6150,"HC.95","MO","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.542","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6151,"HC.95","MO","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.575","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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). State reported that rates exclude the following populations: ""Our MCOs calculated this measure, and as such FFS members are excluded."" The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Encounter claims."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6152,"HC.95","NE","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.653","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6153,"HC.95","NE","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.681","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6154,"HC.95","NV","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.587","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6155,"HC.95","NV","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.608","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6156,"HC.95","NV","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.653","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",231
6157,"HC.95","NV","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.65","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",230
6158,"HC.95","NH","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.593","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6159,"HC.95","NH","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.759","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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."" 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6160,"HC.95","NJ","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.543","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6161,"HC.95","NJ","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.715","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6162,"HC.95","NM","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.632","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6163,"HC.95","NM","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.659","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6164,"HC.95","NY","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.673","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6165,"HC.95","NY","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.778","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6166,"HC.95","NC","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.615","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6167,"HC.95","NC","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.667","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6168,"HC.95","NC","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",231
6169,"HC.95","NC","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",230
6170,"HC.95","ND","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.394","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6171,"HC.95","ND","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.412","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6172,"HC.95","OH","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.604","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6173,"HC.95","OH","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.645","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6174,"HC.95","OK","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.63","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6175,"HC.95","OK","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.576","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6176,"HC.95","OR","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.576","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6177,"HC.95","OR","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.637","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6178,"HC.95","PA","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.68","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6179,"HC.95","PA","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.743","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6180,"HC.95","PR","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.072","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6181,"HC.95","PR","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.328","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6182,"HC.95","RI","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.738","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6183,"HC.95","RI","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.792","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6184,"HC.95","SC","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.557","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6185,"HC.95","SC","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.685","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6186,"HC.95","SD","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.413","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6187,"HC.95","SD","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.44","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6188,"HC.95","TN","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.631","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6189,"HC.95","TN","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.676","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6190,"HC.95","TX","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.592","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6191,"HC.95","TX","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.687","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6192,"HC.95","TX","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",231
6193,"HC.95","TX","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","CHIP only","","","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","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","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",230
6194,"HC.95","UT","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.517","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6195,"HC.95","UT","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.648","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6196,"HC.95","UT","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.761","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",231
6197,"HC.95","UT","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.784","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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 (2 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plans submit independently audited HEDIS data to the Utah Office of Health Care Statistics; Medical Records; Both EHR and Paper."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",230
6198,"HC.95","VT","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.715","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6199,"HC.95","VT","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.808","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6200,"HC.95","VA","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.524","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6201,"HC.95","VA","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.667","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6202,"HC.95","WA","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.573","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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)."" The state described the ""other"" data sources used to calculate the measure as the following: ""State used birth certificates to link mom to baby to get additional baby visits on moms' records for rate 1."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters. Technical specifications state that the visit must occur with a primary care provider. Washington has assumed that the targeted medical codes will be associated with appropriate personnel and is not applying this screen due to the likelihood of underrepresenting enrollees' qualifying visits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6203,"HC.95","WA","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.637","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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)."" The state described the ""other"" data sources used to calculate the measure as the following: ""State used birth certificates to link mom to baby to get additional baby visits on moms' records for rate 1."" State reported the following deviations: ""Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters. Technical specifications state that the visit must occur with a primary care provider. Washington has assumed that the targeted medical codes will be associated with appropriate personnel and is not applying this screen due to the likelihood of underrepresenting enrollees' qualifying visits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6204,"HC.95","WV","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.13","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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: ""MCO Claims Based System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6205,"HC.95","WV","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.238","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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: ""MCO Claims Based System."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6206,"HC.95","WV","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.089","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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 (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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",231
6207,"HC.95","WV","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.255","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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 (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.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",230
6208,"HC.95","WI","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.629","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6209,"HC.95","WI","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.568","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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 (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6210,"HC.95","WY","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.344","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6211,"HC.95","WY","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.705","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6212,"HC.95","MT","Rate","6+ Visits First 15 months","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life",True,"percent","51","0.592","","0.791","0.072","0.542","0.627","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",231
6213,"HC.95","MT","Rate","2+ Visits 15 to 30 months","1","","","","","","","","","","","","","2023","","","","higher","Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life",True,"percent","51","0.648","","0.828","0.238","0.608","0.705","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",230
6214,"HC.96","AL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.267","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6215,"HC.96","AK","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.151","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6216,"HC.96","AZ","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.22","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6217,"HC.96","AR","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.263","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6218,"HC.96","CA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.234","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6219,"HC.96","CO","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.209","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6220,"HC.96","CT","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.277","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6221,"HC.96","DE","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.227","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6222,"HC.96","DC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.282","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6223,"HC.96","FL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.267","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6224,"HC.96","GA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.27","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6225,"HC.96","HI","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.248","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6226,"HC.96","ID","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.19","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6227,"HC.96","IL","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.224","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6228,"HC.96","IN","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.231","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6229,"HC.96","IA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.224","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6230,"HC.96","KS","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.24","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6231,"HC.96","KY","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.267","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6232,"HC.96","LA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.276","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6233,"HC.96","ME","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.244","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6234,"HC.96","MD","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.271","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6235,"HC.96","MA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.264","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6236,"HC.96","MI","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.272","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6237,"HC.96","MN","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.261","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6238,"HC.96","MS","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.299","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6239,"HC.96","MO","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.218","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6240,"HC.96","MT","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.208","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6241,"HC.96","NE","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.195","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6242,"HC.96","NV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.248","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6243,"HC.96","NH","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.261","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6244,"HC.96","NJ","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.224","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6245,"HC.96","NM","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.213","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6246,"HC.96","NY","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.264","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6247,"HC.96","NC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.229","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6248,"HC.96","ND","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.199","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6249,"HC.96","OH","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.25","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6250,"HC.96","OK","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.245","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6251,"HC.96","OR","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.23","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6252,"HC.96","PA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.236","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6253,"HC.96","PR","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.487","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6254,"HC.96","RI","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.292","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6255,"HC.96","SC","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.232","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6256,"HC.96","SD","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.151","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6257,"HC.96","TN","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.249","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6258,"HC.96","TX","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.257","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6259,"HC.96","UT","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.217","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6260,"HC.96","VT","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.238","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6261,"HC.96","VA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.248","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6262,"HC.96","WA","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.222","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6263,"HC.96","WV","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.285","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6264,"HC.96","WI","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.229","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6265,"HC.96","WY","","","","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.19","lower","Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean",True,"percent","52","0.242","","0.487","0.151","0.223","0.266","","Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of October 26, 2023.","State-specific comments: CMS calculated rate using CDC WONDER data.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6266,"HC.97","AL","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.37","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6267,"HC.97","AL","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.278","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6268,"HC.97","AL","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.461","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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."" State noted: ""Claims look back period included paid and rejected claims 48 months (2018-01-01 to 2022-12-31) prior to 10th birthday.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",498
6269,"HC.97","AL","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.349","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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."" State noted: ""Claims look back period included paid and rejected claims 48 months (2018-01-01 to 2022-12-31) prior to 10th birthday.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",499
6270,"HC.97","AK","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.523","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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. State noted: ""There might be some undercount due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6271,"HC.97","AK","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.34","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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. State noted: ""There might be some undercount due to timely filing lag.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6272,"HC.97","AZ","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.557","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6273,"HC.97","AZ","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.37","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6274,"HC.97","AR","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.431","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 dental benefits. The delivery system populations were determined using enrollment data as of each beneficiary's 10th birthday.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6275,"HC.97","AR","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.298","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 dental benefits. The delivery system populations were determined using enrollment data as of each beneficiary's 10th birthday.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6276,"HC.97","CA","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.403","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6277,"HC.97","CA","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.335","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6278,"HC.97","CT","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.555","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6279,"HC.97","CT","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.383","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6280,"HC.97","DE","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.025","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6281,"HC.97","DE","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.003","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6282,"HC.97","DC","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.479","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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). The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6283,"HC.97","DC","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.367","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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). The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6284,"HC.97","FL","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.481","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6285,"HC.97","FL","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.339","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 (7 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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6286,"HC.97","GA","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.478","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6287,"HC.97","GA","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.319","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6288,"HC.97","HI","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.468","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 source used to calculate the measure as the following: ""Dental third party administrator (TPA).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6289,"HC.97","HI","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.309","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 source used to calculate the measure as the following: ""Dental third party administrator (TPA).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6290,"HC.97","ID","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.605","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6291,"HC.97","ID","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.425","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 (1 MCO).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6292,"HC.97","IN","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.48","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6293,"HC.97","IN","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.409","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6294,"HC.97","IA","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.304","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6295,"HC.97","IA","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.233","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6296,"HC.97","KS","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.522","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6297,"HC.97","KS","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.376","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 Reported Data."" Rates are provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6298,"HC.97","LA","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.492","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6299,"HC.97","LA","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.35","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6300,"HC.97","ME","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.424","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6301,"HC.97","ME","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.31","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6302,"HC.97","MA","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.695","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6303,"HC.97","MA","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.608","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 also include ""other"" delivery system (MassHealth Primary Care Accountable Care Organizations).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6304,"HC.97","MN","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.484","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6305,"HC.97","MN","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.354","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 claims only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6306,"HC.97","MS","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.13","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" State noted: ""All 3 Managed Care Organizations reported at least one sealant.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6307,"HC.97","MS","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" State noted: ""All 3 Managed Care Organizations reported at least one sealant.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6308,"HC.97","MO","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.463","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6309,"HC.97","MO","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.314","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6310,"HC.97","NE","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.597","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 (1 MCO). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6311,"HC.97","NE","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.452","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 (1 MCO). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6312,"HC.97","NV","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.553","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 ""other"" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6313,"HC.97","NV","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.382","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 ""other"" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6314,"HC.97","NV","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.628","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 ""other"" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",498
6315,"HC.97","NV","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.435","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 ""other"" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",499
6316,"HC.97","NH","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.602","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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. State noted: ""Medicare dual eligible and members with dental third-party liability are excluded. Includes paid and denied claims. The state noted an increase in the denominator as it is based on an increase in enrollment due to the public health emergency for COVID. There was not much change in the numerators, which resulted in a slight drop in the rates.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6317,"HC.97","NH","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.422","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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. State noted: ""Medicare dual eligible and members with dental third-party liability are excluded. Includes paid and denied claims. The state noted an increase in the denominator as it is based on an increase in enrollment due to the public health emergency for COVID. There was not much change in the numerators, which resulted in a slight drop in the rates.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6318,"HC.97","NJ","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.173","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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: ""American Dental Association/Dental Quality Alliance (ADA/DQA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6319,"HC.97","NJ","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.1","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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: ""American Dental Association/Dental Quality Alliance (ADA/DQA) measurement year 2022 administrative collection method submitted by the MCOs."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6320,"HC.97","NC","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.568","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6321,"HC.97","NC","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.386","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6322,"HC.97","NC","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.534","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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. Rates were audited or validated. State noted: ""North Carolina Health Choice Children includes ages 6 through 18.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",498
6323,"HC.97","NC","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.371","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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. Rates were audited or validated. State noted: ""North Carolina Health Choice Children includes ages 6 through 18.""","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",499
6324,"HC.97","ND","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.447","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6325,"HC.97","ND","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.296","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6326,"HC.97","OK","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.393","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6327,"HC.97","OK","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.261","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6328,"HC.97","OR","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.637","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6329,"HC.97","OR","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.453","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 (16 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6330,"HC.97","PA","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.314","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6331,"HC.97","PA","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.21","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6332,"HC.97","PR","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.165","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6333,"HC.97","PR","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.058","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6334,"HC.97","RI","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.574","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 (1 MCO). 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).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6335,"HC.97","RI","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.428","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 (1 MCO). 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).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6336,"HC.97","SC","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.106","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6337,"HC.97","SC","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.058","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6338,"HC.97","SD","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.624","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6339,"HC.97","SD","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.439","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6340,"HC.97","TN","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.53","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6341,"HC.97","TN","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.365","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6342,"HC.97","TX","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.647","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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: ""Dental encounter and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6343,"HC.97","TX","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid only","Administrative","0.422","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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: ""Dental encounter and enrollment data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6344,"HC.97","TX","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.668","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Dental encounter and enrollment data."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",498
6345,"HC.97","TX","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","CHIP only","Administrative","0.469","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Dental encounter and enrollment data."" Rates were audited or validated.","","0","0","","","1","","","","","","","","","","","","1","Rate","","","",499
6346,"HC.97","VT","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.6","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6347,"HC.97","VT","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.447","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6348,"HC.97","VA","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.534","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""The data source is claims data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6349,"HC.97","VA","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.372","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""The data source is claims data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6350,"HC.97","WA","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.655","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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 and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6351,"HC.97","WA","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.447","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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 and denied lines from otherwise accepted encounters.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6352,"HC.97","WY","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.086","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6353,"HC.97","WY","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.041","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6354,"HC.97","NM","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6355,"HC.97","NY","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6356,"HC.97","OH","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6357,"HC.97","UT","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6358,"HC.97","WI","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6359,"HC.97","MT","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6360,"HC.97","WV","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6361,"HC.97","CO","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6362,"HC.97","IL","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6363,"HC.97","KY","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6364,"HC.97","MD","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6365,"HC.97","MI","Rate","At Least One Molar Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthday",True,"percent","40","0.483","","0.695","0.025","0.398","0.571","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",498
6366,"HC.97","NM","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6367,"HC.97","NY","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6368,"HC.97","OH","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6369,"HC.97","UT","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6370,"HC.97","WI","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6371,"HC.97","MT","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6372,"HC.97","WV","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6373,"HC.97","CO","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6374,"HC.97","IL","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6375,"HC.97","KY","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6376,"HC.97","MD","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6377,"HC.97","MI","Rate","All Four Molars Sealed","1","","","","","","","","","","","","","2023","","","","higher","Percentage who Received Sealants on All Four Permanent First Molars by their 10th Birthday",True,"percent","39","0.354","","0.608","0.003","0.296","0.422","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",499
6378,"HC.98","AL","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.18","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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 noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6379,"HC.98","AL","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.351","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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 noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6380,"HC.98","AZ","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.143","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6381,"HC.98","AZ","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.288","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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 (14 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6382,"HC.98","AR","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Other","Administrative","0.174","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State reported the following deviations: ""The colonoscopy colorectal cancer screening in the numerator specifies the measurement year and 9 prior years. Our data is limited to the measurement year and 7 years lookback, starting with 1/1/2014."" State noted: ""State implemented the optional exclusion. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6383,"HC.98","AR","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Other","Administrative","0.376","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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). Rates also include ""other"" population (Arkansas Medicaid Expansion). 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."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rates were audited or validated. State reported the following deviations: ""The colonoscopy colorectal cancer screening in the numerator specifies the measurement year and 9 prior years. Our data is limited to the measurement year and 7 years lookback, starting with 1/1/2014."" State noted: ""State implemented the optional exclusion. Calculation used eligibility data and state did not verify if beneficiaries had medical benefits.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6384,"HC.98","CA","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.193","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed Care plan administrative data."" Rates were audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6385,"HC.98","CA","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.391","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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). The state described the ""other"" data source used to calculate the measure as the following: ""Managed Care plan administrative data."" Rates were audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6386,"HC.98","CO","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.151","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6387,"HC.98","CO","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.312","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6388,"HC.98","CT","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.195","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6389,"HC.98","CT","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.292","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6390,"HC.98","DE","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.167","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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). State reported that rates exclude the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6391,"HC.98","DE","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.35","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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). State reported that rates exclude the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6392,"HC.98","DC","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.151","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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). The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6393,"HC.98","DC","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.355","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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). The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6394,"HC.98","FL","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.305","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). State reported that rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rate was audited or validated. State noted: ""The ages 46 to 49 rate includes individuals 46 to 75.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6395,"HC.98","FL","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (12 MCOs). State reported that rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plans."" Rate was audited or validated. State noted: ""The ages 46 to 49 rate includes individuals 46 to 75.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6396,"HC.98","IN","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.202","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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). State reported the following deviations: ""Reported ages 50 to 75 instead of ages 50 to 64.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6397,"HC.98","IN","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.397","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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). State reported the following deviations: ""Reported ages 50 to 75 instead of ages 50 to 64.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6398,"HC.98","IA","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.158","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6399,"HC.98","IA","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.301","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6400,"HC.98","KS","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.391","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional. State reported the following deviations: ""Kansas did not stratify by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6401,"HC.98","KS","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Reporting."" Rate is provisional. State reported the following deviations: ""Kansas did not stratify by age.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6402,"HC.98","LA","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.186","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6403,"HC.98","LA","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.385","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6404,"HC.98","ME","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.193","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6405,"HC.98","ME","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.393","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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: ""Only paid claims are used as the state's measures engine only includes paid claims. Anchor dates are not used.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6406,"HC.98","MD","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.2","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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 (9 MCOs). State reported that rates exclude the following populations: ""The Medicare and Medicaid Dually- Eligible Population are carved out of managed care."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6407,"HC.98","MD","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.364","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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 (9 MCOs). State reported that rates exclude the following populations: ""The Medicare and Medicaid Dually- Eligible Population are carved out of managed care."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6408,"HC.98","MA","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative & Electronic Health Records","0.211","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated. State noted: ""Reported denominators represent measure-eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6409,"HC.98","MA","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative & Electronic Health Records","0.464","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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, ICM, and managed care populations (15 MCOs). Rates were audited or validated. State noted: ""Reported denominators represent measure-eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6410,"HC.98","MI","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.204","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan data warehouse (copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6411,"HC.98","MI","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.43","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan data warehouse (copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6412,"HC.98","MN","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.229","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6413,"HC.98","MN","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.45","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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: ""Rates include paid and denied claims. Optional exclusion (e.g., Deceased members exclusion) was applied.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6414,"HC.98","MS","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.201","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6415,"HC.98","MS","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.434","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6416,"HC.98","MO","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.224","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6417,"HC.98","MO","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.437","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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 (3 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6418,"HC.98","NE","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.233","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6419,"HC.98","NE","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.406","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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 Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6420,"HC.98","NV","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.168","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6421,"HC.98","NV","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.332","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6422,"HC.98","NH","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.157","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6423,"HC.98","NH","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.344","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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 excluded."" 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, yet the age groups were split up according to the CMS specified age group for that measure where it is applicable. Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6424,"HC.98","NJ","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.205","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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. State noted: ""The State of New Jersey reported a combined rate ages ""50 to 75"" in the ages ""50 to 64"" performance measure section.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6425,"HC.98","NJ","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.428","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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. State noted: ""The State of New Jersey reported a combined rate ages ""50 to 75"" in the ages ""50 to 64"" performance measure section.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6426,"HC.98","NM","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.149","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data. The reported data include individuals ages 46 to 49. Measurement year 2022 HEDIS does not stratify this measure by the requested age groups of 50 to 64 and 65 to 75.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6427,"HC.98","NM","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data. The reported data include individuals ages 46 to 49. Measurement year 2022 HEDIS does not stratify this measure by the requested age groups of 50 to 64 and 65 to 75.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6428,"HC.98","NY","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.204","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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 (61 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6429,"HC.98","NY","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.449","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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 (61 MCOs). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6430,"HC.98","NC","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Other","Administrative","0.106","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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. State noted: ""All adults ages 46 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6431,"HC.98","NC","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Other","Administrative","0.226","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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. State noted: ""All adults ages 46 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6432,"HC.98","ND","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.123","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6433,"HC.98","ND","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.246","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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 (1 MCO). Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6434,"HC.98","OK","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.2","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6435,"HC.98","OK","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.372","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6436,"HC.98","OR","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.189","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6437,"HC.98","OR","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.404","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6438,"HC.98","PA","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.213","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated. State noted: ""The available 46 to 49 and 50 to 75 age breakouts are consistent with measurement year 2022 HEDIS specifications. For FFY 2023 reporting, Pennsylvania is only reporting the 46 to 49 age breakout.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6439,"HC.98","PA","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated. State noted: ""The available 46 to 49 and 50 to 75 age breakouts are consistent with measurement year 2022 HEDIS specifications. For FFY 2023 reporting, Pennsylvania is only reporting the 46 to 49 age breakout.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6440,"HC.98","PR","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.276","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6441,"HC.98","PR","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.454","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rates were audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6442,"HC.98","RI","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.263","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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. State noted: ""The Ages 50 to 64 rate includes all individuals age 50 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6443,"HC.98","RI","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.517","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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. State noted: ""The Ages 50 to 64 rate includes all individuals age 50 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6444,"HC.98","SC","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.124","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6445,"HC.98","SC","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.208","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6446,"HC.98","SD","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.123","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6447,"HC.98","SD","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.276","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6448,"HC.98","TN","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.207","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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. State reported the following deviations: ""This measure was calculated based on NCQA specifications. NCQA specifications only include age groups 46 to 49 and 50 to 75. Therefore the rate reported for ages 50 to 64 is for all members age 50 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6449,"HC.98","TN","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.453","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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. State reported the following deviations: ""This measure was calculated based on NCQA specifications. NCQA specifications only include age groups 46 to 49 and 50 to 75. Therefore the rate reported for ages 50 to 64 is for all members age 50 and older.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6450,"HC.98","TX","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.145","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6451,"HC.98","TX","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.257","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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: ""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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6452,"HC.98","VT","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.158","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6453,"HC.98","VT","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.316","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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). State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6454,"HC.98","WA","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.171","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6455,"HC.98","WA","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.36","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6456,"HC.98","WV","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.143","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6457,"HC.98","WV","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.256","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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 (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6458,"HC.98","WI","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid","Administrative","0.192","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rate was audited or validated. State noted: ""The state is reporting ages 46 to 49, as ages 50 to 64 and 65 to 75 are not available.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6459,"HC.98","WI","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid","Administrative","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not reported for [stratification]","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims System."" Rate was audited or validated. State noted: ""The state is reporting ages 46 to 49, as ages 50 to 64 and 65 to 75 are not available.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6460,"HC.98","WY","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.062","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6461,"HC.98","WY","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.077","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","","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.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6462,"HC.98","AK","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6463,"HC.98","OH","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6464,"HC.98","UT","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6465,"HC.98","VA","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6466,"HC.98","MT","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6467,"HC.98","GA","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6468,"HC.98","HI","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6469,"HC.98","ID","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6470,"HC.98","IL","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6471,"HC.98","KY","Age","Ages 46 to 49","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49",True,"percent","42","0.191","","0.391","0.062","0.151","0.205","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",632
6472,"HC.98","AK","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6473,"HC.98","OH","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6474,"HC.98","UT","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6475,"HC.98","VA","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6476,"HC.98","MT","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6477,"HC.98","GA","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6478,"HC.98","HI","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6479,"HC.98","ID","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6480,"HC.98","IL","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6481,"HC.98","KY","Age","Ages 50 to 64","1","","","","","","","","","","","","","2023","","","","higher","Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64",True,"percent","37","0.364","","0.517","0.077","0.301","0.428","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",633
6482,"HC.99","AL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.756","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and PCCM populations. State noted: ""Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6483,"HC.99","AZ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.438","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6484,"HC.99","AR","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Other","Administrative","0.343","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes ""other"" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that the rate excludes the following populations: ""Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes."" The state described the ""other"" data sources used to calculate the measure as the following: ""Qualified Health Plans (QHP) provider and claims data."" Rate was audited or validated. State noted: ""Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts. The delivery system populations were determined using enrollment data as of the latest diagnosis during the measurement period.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6485,"HC.99","CA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.41","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated. State noted: ""Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6486,"HC.99","CO","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.639","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6487,"HC.99","CT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.389","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population. Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6488,"HC.99","DE","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.339","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (2 MCOs). State reported that the rate excludes the following populations: ""The Fee-For-Service population is excluded, as the data source is not easily accessible."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6489,"HC.99","DC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.557","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes the following populations: ""The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure."" The state described the ""other"" data source used to calculate the measure as the following: ""DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6490,"HC.99","FL","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.433","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (13 MCOs). State reported that the rate excludes the following populations: ""FFS population."" The state described the ""other"" data sources used to calculate the measure as the following: ""Data submitted by health plan."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6491,"HC.99","GA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.403","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population."" The state described the ""other"" data sources used to calculate the measure as the following: ""The state's EQRO uses the data from the care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the CMOs, which is based on the CMOs' claims/encounter, supplemental, and enrollment data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6492,"HC.99","IN","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.408","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6493,"HC.99","IA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.607","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (2 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6494,"HC.99","KS","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.472","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). Rate is provisional.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6495,"HC.99","KY","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.337","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (6 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6496,"HC.99","LA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.33","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6497,"HC.99","ME","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.568","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and ICM populations. State reported the following deviations: ""The MaineCare measures engine only includes paid claims for this measure.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6498,"HC.99","MD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.425","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs).","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6499,"HC.99","MA","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.566","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes PCCM, ICM, and managed care populations (15 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6500,"HC.99","MI","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.597","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (9 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""State of Michigan Data Warehouse (contains copy of MMIS data).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6501,"HC.99","MS","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.518","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6502,"HC.99","NE","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.413","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Health Plan Claim System.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6503,"HC.99","NV","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.857","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (4 MCOs). State noted: ""Significant increase due to additional contracted MCO effective 1/1/2022.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6504,"HC.99","NH","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.495","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: ""FFS excluded."" 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."" Rate was audited or validated. State noted: ""Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6505,"HC.99","NJ","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.372","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6506,"HC.99","NM","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.42","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO audited HEDIS."" Rate was audited or validated. State noted: ""The data reported is an aggregate total of all 3 MCOs' administrative data.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6507,"HC.99","NY","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.436","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (24 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""Managed Care health plan billing data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6508,"HC.99","NC","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.535","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: ""Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6509,"HC.99","ND","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.572","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6510,"HC.99","OH","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.394","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State reported that the rate excludes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6511,"HC.99","OK","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.418","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6512,"HC.99","PA","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.505","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (7 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."" Rate was audited or validated. State noted: ""There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6513,"HC.99","PR","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.504","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""MCOs reported data."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6514,"HC.99","RI","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.327","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes 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)."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6515,"HC.99","SC","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.35","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). State noted: ""The denominator includes the CHIP population ages 18 to 21. Population restricted to full Medicaid beneficiaries enrolled in MCO plan.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6516,"HC.99","SD","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.539","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6517,"HC.99","TN","","","","","","","","","","","","","","","","2023","Medicaid, CHIP, & Dual Eligibles","Administrative","0.363","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (4 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6518,"HC.99","TX","","","","","","","","","","","","","","","","2023","Medicaid","Administrative","0.423","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes 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."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6519,"HC.99","VT","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.437","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes ""other"" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rate was audited or validated. State noted: ""Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures.""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6520,"HC.99","WA","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.423","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (5 MCOs). Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6521,"HC.99","WV","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","0.634","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes FFS and managed care populations (3 MCOs). The state described the ""other"" data sources used to calculate the measure as the following: ""MCO Claims Based Systems and State's Medicaid Enterprise Data Solution (EDS).""","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6522,"HC.99","WI","","","","","","","","","","","","","","","","2023","Medicaid & CHIP","Administrative","0.484","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","State-specific comments: Rate includes managed care population (14 MCOs). The state described the ""other"" data source used to calculate the measure as the following: ""HMO Unique Claims Systems."" Rate was audited or validated.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6523,"HC.99","WY","","","","","","","","","","","","","","","","2023","Medicaid & Dual Eligibles","Administrative","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","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: Rate includes FFS population.","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6524,"HC.99","AK","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6525,"HC.99","OR","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6526,"HC.99","UT","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6527,"HC.99","VA","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6528,"HC.99","MT","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6529,"HC.99","MO","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6530,"HC.99","HI","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6531,"HC.99","ID","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6532,"HC.99","IL","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6533,"HC.99","MN","","","","","","","","","","","","","","","","2023","","","","higher","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",True,"percent","41","0.436","","0.857","0.327","0.403","0.539","Not Reported","Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.","","","1","1","","","1","","","","","","","","","","","","1","Rate","","","",161
6534,"X01","AK","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6535,"X01","NC","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6536,"X01","ND","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6537,"X01","NE","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6538,"X01","NH","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6539,"X01","NJ","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6540,"X01","NM","","","","","","","","","","","","","","","","2023","","","20","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6541,"X01","NV","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6542,"X01","NY","","","","","","","","","","","","","","","","2023","","","24","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6543,"X01","OH","","","","","","","","","","","","","","","","2023","","","20","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6544,"X01","OK","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6545,"X01","OR","","","","","","","","","","","","","","","","2023","","","17","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6546,"X01","PA","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6547,"X01","PR","","","","","","","","","","","","","","","","2023","","","25","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6548,"X01","RI","","","","","","","","","","","","","","","","2023","","","24","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6549,"X01","SC","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6550,"X01","SD","","","","","","","","","","","","","","","","2023","","","25","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6551,"X01","TN","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6552,"X01","TX","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6553,"X01","UT","","","","","","","","","","","","","","","","2023","","","15","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6554,"X01","VA","","","","","","","","","","","","","","","","2023","","","23","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6555,"X01","VT","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6556,"X01","WA","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6557,"X01","WI","","","","","","","","","","","","","","","","2023","","","20","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6558,"X01","MT","","","","","","","","","","","","","","","","2023","","","3","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6559,"X01","WV","","","","","","","","","","","","","","","","2023","","","23","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6560,"X01","MS","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6561,"X01","MO","","","","","","","","","","","","","","","","2023","","","24","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6562,"X01","AL","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6563,"X01","AR","","","","","","","","","","","","","","","","2023","","","24","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6564,"X01","AZ","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6565,"X01","CA","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6566,"X01","CO","","","","","","","","","","","","","","","","2023","","","24","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6567,"X01","CT","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6568,"X01","DC","","","","","","","","","","","","","","","","2023","","","24","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6569,"X01","DE","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6570,"X01","FL","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6571,"X01","GA","","","","","","","","","","","","","","","","2023","","","23","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6572,"X01","HI","","","","","","","","","","","","","","","","2023","","","25","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6573,"X01","IA","","","","","","","","","","","","","","","","2023","","","23","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6574,"X01","ID","","","","","","","","","","","","","","","","2023","","","18","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6575,"X01","IL","","","","","","","","","","","","","","","","2023","","","20","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6576,"X01","IN","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6577,"X01","KS","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6578,"X01","KY","","","","","","","","","","","","","","","","2023","","","16","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6579,"X01","LA","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6580,"X01","MA","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6581,"X01","MD","","","","","","","","","","","","","","","","2023","","","22","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6582,"X01","ME","","","","","","","","","","","","","","","","2023","","","25","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6583,"X01","MI","","","","","","","","","","","","","","","","2023","","","19","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6584,"X01","MN","","","","","","","","","","","","","","","","2023","","","22","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6585,"X01","WY","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","25.5","","27","3","23.0","27.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of CDC WONDER data for calendar year 2022 as of October 26, 2023; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","23","26","27","27","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6586,"X02","AK","","","","","","","","","","","","","","","","2023","","","3","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6587,"X02","NC","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6588,"X02","ND","","","","","","","","","","","","","","","","2023","","","29","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6589,"X02","NE","","","","","","","","","","","","","","","","2023","","","32","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6590,"X02","NH","","","","","","","","","","","","","","","","2023","","","32","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6591,"X02","NJ","","","","","","","","","","","","","","","","2023","","","28","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6592,"X02","NM","","","","","","","","","","","","","","","","2023","","","22","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6593,"X02","NV","","","","","","","","","","","","","","","","2023","","","29","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6594,"X02","NY","","","","","","","","","","","","","","","","2023","","","30","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6595,"X02","OH","","","","","","","","","","","","","","","","2023","","","21","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6596,"X02","OK","","","","","","","","","","","","","","","","2023","","","29","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6597,"X02","OR","","","","","","","","","","","","","","","","2023","","","19","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6598,"X02","PA","","","","","","","","","","","","","","","","2023","","","32","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6599,"X02","PR","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6600,"X02","RI","","","","","","","","","","","","","","","","2023","","","21","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6601,"X02","SC","","","","","","","","","","","","","","","","2023","","","32","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6602,"X02","SD","","","","","","","","","","","","","","","","2023","","","28","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6603,"X02","TN","","","","","","","","","","","","","","","","2023","","","32","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6604,"X02","TX","","","","","","","","","","","","","","","","2023","","","31","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6605,"X02","UT","","","","","","","","","","","","","","","","2023","","","12","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6606,"X02","VA","","","","","","","","","","","","","","","","2023","","","12","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6607,"X02","VT","","","","","","","","","","","","","","","","2023","","","31","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6608,"X02","WA","","","","","","","","","","","","","","","","2023","","","30","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6609,"X02","WI","","","","","","","","","","","","","","","","2023","","","20","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6610,"X02","MT","","","","","","","","","","","","","","","","2023","","","4","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6611,"X02","WV","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6612,"X02","MS","","","","","","","","","","","","","","","","2023","","","32","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6613,"X02","MO","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6614,"X02","AL","","","","","","","","","","","","","","","","2023","","","31","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6615,"X02","AR","","","","","","","","","","","","","","","","2023","","","28","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6616,"X02","AZ","","","","","","","","","","","","","","","","2023","","","32","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6617,"X02","CA","","","","","","","","","","","","","","","","2023","","","28","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6618,"X02","CO","","","","","","","","","","","","","","","","2023","","","29","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6619,"X02","CT","","","","","","","","","","","","","","","","2023","","","32","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6620,"X02","DC","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6621,"X02","DE","","","","","","","","","","","","","","","","2023","","","33","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6622,"X02","FL","","","","","","","","","","","","","","","","2023","","","23","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6623,"X02","GA","","","","","","","","","","","","","","","","2023","","","26","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6624,"X02","HI","","","","","","","","","","","","","","","","2023","","","30","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6625,"X02","IA","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6626,"X02","ID","","","","","","","","","","","","","","","","2023","","","14","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6627,"X02","IL","","","","","","","","","","","","","","","","2023","","","25","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6628,"X02","IN","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6629,"X02","KS","","","","","","","","","","","","","","","","2023","","","32","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6630,"X02","KY","","","","","","","","","","","","","","","","2023","","","19","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6631,"X02","LA","","","","","","","","","","","","","","","","2023","","","30","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6632,"X02","MA","","","","","","","","","","","","","","","","2023","","","30","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6633,"X02","MD","","","","","","","","","","","","","","","","2023","","","30","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6634,"X02","ME","","","","","","","","","","","","","","","","2023","","","25","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6635,"X02","MI","","","","","","","","","","","","","","","","2023","","","31","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6636,"X02","MN","","","","","","","","","","","","","","","","2023","","","27","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161
6637,"X02","WY","","","","","","","","","","","","","","","","2023","","","22","higher","Number of Core Set measures reported",True,"countInteger","","28.0","","33","3","24.0","31.0","","Mathematica analysis of the QMR system reports for the 2023 Core Set as of May 16, 2024; Mathematica analysis of National Core Indicators – Intellectual and Developmental Disabilities (NCI-IDD) data submitted by states to the NCI National Team for the July 1, 2022 to June 30, 2023 data collection period as of May 22, 2024; and AHRQ and CMS analysis of the AHRQ CAHPS Database for the July 2022 to June 2023 data collection period as of January 24, 2024.","","","1","1","","","1","3","24","28","31","33","","Minimum - <1st quartile","1st quart. - <2nd quart.","2nd quart. - <3rd quart.","3rd quart. - Maximum","","0","Count","","","",161