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700 | HC.11 | NC | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
701 | HC.11 | NC | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
702 | HC.11 | NC | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
703 | HC.11 | NC | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
704 | HC.11 | NC | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
705 | HC.11 | NC | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
706 | HC.11 | NC | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
707 | HC.11 | NC | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "Ages 18 to 64 were captured in this measure. The denominators for this measure contain NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
708 | HC.11 | ND | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS, PCCM, and managed care populations (1 MCO). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
709 | HC.11 | ND | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS, PCCM, and managed care populations (1 MCO). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
710 | HC.11 | ND | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS, PCCM, and managed care populations (1 MCO). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
711 | HC.11 | ND | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS, PCCM, and managed care populations (1 MCO). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
712 | HC.11 | ND | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS, PCCM, and managed care populations (1 MCO). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
713 | HC.11 | ND | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS, PCCM, and managed care populations (1 MCO). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
714 | HC.11 | ND | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS, PCCM, and managed care populations (1 MCO). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
715 | HC.11 | ND | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS, PCCM, and managed care populations (1 MCO). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
716 | HC.11 | OH | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
717 | HC.11 | OH | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
718 | HC.11 | OH | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
719 | HC.11 | OH | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
720 | HC.11 | OH | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
721 | HC.11 | OH | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
722 | HC.11 | OH | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
723 | HC.11 | OH | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
724 | HC.11 | OK | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
725 | HC.11 | OK | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
726 | HC.11 | OK | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
727 | HC.11 | OK | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
728 | HC.11 | OK | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
729 | HC.11 | OK | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
730 | HC.11 | OK | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
731 | HC.11 | OK | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
732 | HC.11 | OR | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
733 | HC.11 | OR | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
734 | HC.11 | OR | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
735 | HC.11 | OR | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
736 | HC.11 | OR | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
737 | HC.11 | OR | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
738 | HC.11 | OR | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
739 | HC.11 | OR | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
740 | HC.11 | PA | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
741 | HC.11 | PA | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
742 | HC.11 | PA | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
743 | HC.11 | PA | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
744 | HC.11 | PA | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
745 | HC.11 | PA | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
746 | HC.11 | PA | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
747 | HC.11 | PA | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
748 | HC.11 | PR | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "MCOs reported data." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
749 | HC.11 | PR | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "MCOs reported data." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
750 | HC.11 | PR | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "MCOs reported data." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
751 | HC.11 | PR | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "MCOs reported data." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
752 | HC.11 | PR | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "MCOs reported data." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
753 | HC.11 | PR | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "MCOs reported data." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
754 | HC.11 | PR | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "MCOs reported data." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
755 | HC.11 | PR | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "MCOs reported data." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
756 | HC.11 | RI | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
757 | HC.11 | RI | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
758 | HC.11 | RI | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
759 | HC.11 | RI | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
760 | HC.11 | RI | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
761 | HC.11 | RI | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
762 | HC.11 | RI | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
763 | HC.11 | RI | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
764 | HC.11 | SC | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State noted: "The denominator includes the CHIP population ages 18 to 21. 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 | 454 |
765 | HC.11 | SC | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State noted: "The denominator includes the CHIP population ages 18 to 21. 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 | 455 |
766 | HC.11 | SC | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State noted: "The denominator includes the CHIP population ages 18 to 21. 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 | 456 |
767 | HC.11 | SC | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State noted: "The denominator includes the CHIP population ages 18 to 21. 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 | 457 |
768 | HC.11 | SC | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State noted: "The denominator includes the CHIP population ages 18 to 21. 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 | 458 |
769 | HC.11 | SC | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State noted: "The denominator includes the CHIP population ages 18 to 21. 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 | 459 |
770 | HC.11 | SC | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State noted: "The denominator includes the CHIP population ages 18 to 21. 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 | 460 |
771 | HC.11 | SC | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (5 MCOs). State noted: "The denominator includes the CHIP population ages 18 to 21. 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 | 461 |
772 | HC.11 | SD | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
773 | HC.11 | SD | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
774 | HC.11 | SD | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
775 | HC.11 | SD | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
776 | HC.11 | SD | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
777 | HC.11 | SD | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
778 | HC.11 | SD | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
779 | HC.11 | SD | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
780 | HC.11 | TN | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
781 | HC.11 | TN | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
782 | HC.11 | TN | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
783 | HC.11 | TN | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
784 | HC.11 | TN | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
785 | HC.11 | TN | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
786 | HC.11 | TN | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
787 | HC.11 | TN | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
788 | HC.11 | TX | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
789 | HC.11 | TX | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
790 | HC.11 | TX | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
791 | HC.11 | TX | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
792 | HC.11 | TX | Rate | Initiation | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.714 | 0.09 | 0.38 | 0.467 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 458 |
793 | HC.11 | TX | Rate | Engagement | 1 | Diagnosis | Other Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.28 | 0.036 | 0.09 | 0.178 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 459 |
794 | HC.11 | TX | Rate | Initiation | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.688 | 0.198 | 0.405 | 0.508 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 460 |
795 | HC.11 | TX | Rate | Engagement | 1 | Diagnosis | Total Substance Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.327 | 0.039 | 0.115 | 0.221 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 461 |
796 | HC.11 | VT | Rate | Initiation | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.668 | 0.196 | 0.383 | 0.451 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated. 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 454 |
797 | HC.11 | VT | Rate | Engagement | 1 | Diagnosis | Alcohol Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.25 | 0.037 | 0.092 | 0.163 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated. 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 455 |
798 | HC.11 | VT | Rate | Initiation | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.731 | 0.224 | 0.499 | 0.674 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated. 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 456 |
799 | HC.11 | VT | Rate | Engagement | 1 | Diagnosis | Opioid Use Disorder: Ages 18 to 64 | 1 | null | null | null | null | null | null | null | null | null | 2,023 | 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 | null | 0.522 | 0.048 | 0.2 | 0.423 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024. | State-specific comments: Rates include "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated. 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." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | 1 | Rate | null | null | null | 457 |
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