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float64 | strat_tier3_label
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float64 | group_tier1_order
float64 | cat_label
float64 | cat_order
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float64 | data_period
int64 | population
string | methodology
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float64 | values_direction
string | value_type
string | value_type_is_default
bool | value_indicator
string | number_of_states_reporting
float64 | median
float64 | mean
float64 | max_value
float64 | min_value
float64 | bottom_quartile
float64 | top_quartile
float64 | value_label
string | analysis_source
string | notes
string | notes_visualization
float64 | default_multi
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int64 | legend_order
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float64 | stratifications_id
int64 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
300 | HC.105 | IN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
301 | HC.105 | IA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
302 | HC.105 | KS | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
303 | HC.105 | LA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
304 | HC.105 | ME | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
305 | HC.105 | MD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
306 | HC.105 | MA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
307 | HC.105 | MO | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
308 | HC.105 | NE | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
309 | HC.105 | NV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Medicaid rate includes "other" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
310 | HC.105 | NV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: CHIP rate includes "other" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rate was audited or validated. | null | 0 | 0 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
311 | HC.105 | NJ | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
312 | HC.105 | NC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
313 | HC.105 | NC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: CHIP 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." | null | 0 | 0 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
314 | HC.105 | ND | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
315 | HC.105 | OK | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
316 | HC.105 | OR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
317 | HC.105 | PA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
318 | HC.105 | PR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
319 | HC.105 | RI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the 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)." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
320 | HC.105 | SC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
321 | HC.105 | SD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
322 | HC.105 | TN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
323 | HC.105 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Medicaid 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
324 | HC.105 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: CHIP 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. | null | 0 | 0 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
325 | HC.105 | VT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
326 | HC.105 | VA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
327 | HC.105 | WA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
328 | HC.105 | WY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
329 | HC.105 | NH | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
330 | HC.105 | NM | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
331 | HC.105 | NY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
332 | HC.105 | OH | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
333 | HC.105 | UT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
334 | HC.105 | WI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
335 | HC.105 | MT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
336 | HC.105 | WV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
337 | HC.105 | MS | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
338 | HC.105 | CO | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
339 | HC.105 | DC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
340 | HC.105 | IL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
341 | HC.105 | KY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
342 | HC.105 | MI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
343 | HC.105 | MN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
344 | HC.107 | AL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Medicaid rate includes FFS and PCCM populations. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
345 | HC.107 | AL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: CHIP rate includes FFS population. The state described the "other" data source used to calculate the measure as the following: "Separate CHIP claims data." | null | 0 | 0 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
346 | HC.107 | AK | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
347 | HC.107 | AZ | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
348 | HC.107 | AR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
349 | HC.107 | CA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
350 | HC.107 | CO | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Medicaid rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
351 | HC.107 | CO | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: CHIP rate includes managed care population (4 MCOs). Rate was audited or validated. | null | 0 | 0 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
352 | HC.107 | CT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
353 | HC.107 | DE | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
354 | HC.107 | DC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
355 | HC.107 | FL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
356 | HC.107 | GA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
357 | HC.107 | IN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
358 | HC.107 | IA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
359 | HC.107 | KS | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
360 | HC.107 | KY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
361 | HC.107 | LA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
362 | HC.107 | ME | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
363 | HC.107 | MD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
364 | HC.107 | MA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
365 | HC.107 | MI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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)." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
366 | HC.107 | MS | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
367 | HC.107 | NE | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
368 | HC.107 | NV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
369 | HC.107 | NV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | null | null | 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 | null | 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 | null | 0 | 0 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
370 | HC.107 | NH | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
371 | HC.107 | NJ | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
372 | HC.107 | NM | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
373 | HC.107 | NY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
374 | HC.107 | NC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Medicaid 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
375 | HC.107 | NC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: CHIP 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." | null | 0 | 0 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
376 | HC.107 | ND | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
377 | HC.107 | OH | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
378 | HC.107 | OK | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
379 | HC.107 | PA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Medicaid 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
380 | HC.107 | PR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
381 | HC.107 | RI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
382 | HC.107 | SC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
383 | HC.107 | SD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
384 | HC.107 | TN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
385 | HC.107 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Medicaid 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
386 | HC.107 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: CHIP 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. | null | 0 | 0 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
387 | HC.107 | VT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
388 | HC.107 | VA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
389 | HC.107 | WA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
390 | HC.107 | WV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Medicaid 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
391 | HC.107 | WV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: CHIP 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. | null | 0 | 0 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
392 | HC.107 | WI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
393 | HC.107 | WY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis 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. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
394 | HC.107 | OR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
395 | HC.107 | UT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
396 | HC.107 | MT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
397 | HC.107 | MO | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
398 | HC.107 | HI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
399 | HC.107 | ID | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | null | null | null | 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 | null | 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. | null | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 161 |
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