Commercial MY2023 PLD File Specifications
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Revision date: December 14, 2023
NYS MY2023 Patient-Level Detail File Specifications
COMMERCIAL
| MEASURE | COLUMN LENGTH | COLUMN START | COLUMN END | FIELD | SPECIFICATION |
|---|---|---|---|---|---|
| MEASURE | COLUMN LENGTH | COLUMN START | COLUMN END | FIELD | SPECIFICATION |
| GENERAL INFO | 1 | 1 | 1 | Record Identifier | Use the tilde (~) character to start the line. |
| GENERAL INFO | 5 | 2 | 6 | Submission ID | The unique identifier assigned by NCQA for summary-level data submission |
| GENERAL INFO | 18 | 7 | 24 | Product Line | MEDICAID, HIVSNP, HARP |
| GENERAL INFO | 30 | 25 | 54 | Member ID | Member ID should be Medicaid Client ID Number (CIN). For Medicaid: AA#####A For CHP: 0####### or 5####### |
| GENERAL INFO | 8 | 55 | 62 | Date of birth | The birth date must contain 8 digits with month, day, year Enter: MMDDYYYY (e.g., September 20, 1983 would be 09201983) |
| GENERAL INFO | 2 | 63 | 64 | Member Months | The member month contribution this member adds according to the Enrollment by Product Line measure. Valid values are between 0 - 12. |
| GENERAL INFO | 1 | 65 | 65 | Sex | Enter: The sex assigned at birth 'F' member is female 'M' member is male 'O' includes, but is not limited to: missing, refused, and unspecified No other characters are allowed |
| GENERAL INFO | 2 | 66 | 67 | Race | Enter the member's race: 01=White 02=Black or African American 03=American Indian/Alaskan Native 04=Asian 05=Native Hawaiian/Pacific Islander 06=Some Other Race 07=Two or more races 08=Asked But No Answer 09=Unknown |
| GENERAL INFO | 2 | 68 | 69 | Source of Race Data | Provide the source of race data: 20 = Health Plan Direct (Direct) 21 = CMS databases (Direct) 22 = State Databases (Direct) 23 = Surname Analysis (Indirect) 24 = Geo-coding Analysis (Indirect) 28 = Asked but no answer (Direct) 29 = Other (direct) 30 = Unknown (Only used to report unknown data) |
| GENERAL INFO | 1 | 70 | 70 | Ethnicity | Enter the Member's ethnicity: 1=Hispanic or Latino 2=Non-Hispanic or Latino 9=Unknown 0=Asked but not answered |
| GENERAL INFO | 2 | 71 | 72 | Source of Ethnicity Data | Provide the source of ethnicity data: 20 = Health Plan Direct (Direct) 21 = CMS databases (Direct) 22 = State Databases (Direct) 23 = Surname Analysis (Indirect) 24 = Geo-coding Analysis (Indirect) 28 = Asked but no answer (Direct) 29 = Other (direct) 30 = Unknown (Only used to report unknown data) |
| GENERAL INFO | 2 | 73 | 74 | Asian American Subgroups | If member is Asian then identify the specific subgroup: 01=Chinese 02=Japanese 03=Filipino 04=Korean 05=Vietnamese 06=Asian Indian 07=Laotian 08=Cambodian 09=Bangladeshi 10=Hmong 11=Indonesian 12=Malaysian 13=Pakistani 14=Sri Lankan 15=Taiwanese 16=Nepalese 17=Burmese 18=Thai 19=Two or more subgroups 20=Unknown 21=Declined 00=Not Asian |
| GENERAL INFO | 1 | 75 | 75 | Native Hawaiian/Pacific Islander Subgroups | If member is Native Hawaiian or Pacific Islander then identify the subgroup: 1=Hawaiian 2=Guamanian/Chamorro 3=Samoan 4=Fijian 5=Tongan 6=Two or more subgroups 7=Unknown 8=Declined 0=Not Asian |
| GENERAL INFO | 3 | 76 | 78 | Language Spoken | Enter the member's spoken language: 001=English *For all other languages other than English see the Language Value Set on the Managed Care Information for Health Plans > Quality Assurance Reporting Requirements (QARR) > 2024 > NYS QARR Language Value Set webpage. 197=Unknown 199=Declined |
| GENERAL INFO | 3 | 79 | 81 | County of Residence | Enter the 3-digit county FIPS code for each member's residence of county. See the attachment for codes and values to enter here. ### = FIPS Code 000 = Outside of NYS 999 = Unknown |
| AAB | 2 | 82 | 83 | Denominator for Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB): 3 months-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAB | 2 | 84 | 85 | Numerator for Avoidance of Antibiotic treatment for Acute Bronchitis/Bronchiolitis (AAB): 3 months-17 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| AAB | 2 | 86 | 87 | Denominator for Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB): 18-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAB | 2 | 88 | 89 | Numerator for Avoidance of Antibiotic treatment for Acute Bronchitis/Bronchiolitis (AAB): 18-64 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| AAB | 2 | 90 | 91 | Denominator for Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AAB | 2 | 92 | 93 | Numerator for Avoidance of Antibiotic treatment for Acute Bronchitis/Bronchiolitis (AAB): 65+ years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| AAP | 1 | 94 | 94 | Denominator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 20-44 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AAP | 1 | 95 | 95 | Numerator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 20-44 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AAP | 1 | 96 | 96 | Denominator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 45-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AAP | 1 | 97 | 97 | Numerator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 45-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AAP | 1 | 98 | 98 | Denominator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 65 years and older | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AAP | 1 | 99 | 99 | Numerator for Adults' Access to Preventive/Ambulatory Health Services (AAP): 65 years and older | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| ADD-E | 1 | 100 | 100 | Denominator for Follow-Up Care for Children Prescribed ADHD Medication (ADD-E): Initiation Phase | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ADD-E | 1 | 101 | 101 | Numerator for Follow-Up Care for Children Prescribed ADHD Medication (ADD-E): Initiation Phase | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| ADD-E | 1 | 102 | 102 | Denominator for Follow-Up Care for Children Prescribed ADHD Medication (ADD-E): Continuation and Maintenance (C&M) Phase | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| ADD-E | 1 | 103 | 103 | Numerator for Follow-Up Care for Children Prescribed ADHD Medication (ADD-E): Continuation and Maintenance (C&M) Phase | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 104 | 104 | Denominator 1 for Adult Immunization Status (AIS-E): Influenza and Td/Tdap (Population Criteria 1) [Members 19 -65 years] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 105 | 105 | Numerator for Adult Immunization Status (AIS-E): Influenza (Population Criteria 1) [Members 19 -65 years] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 106 | 106 | Numerator for Adult Immunization Status (AIS-E): Td/Tdap (Population Criteria 2) [Members 19 -65 years] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 107 | 107 | Denominator 2 for Adult Immunization Status (AIS-E): Influenza and Td/Tdap (Population Criteria 4) [Members 66 and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 108 | 108 | Numerator for Adult Immunization Status (AIS-E): Influenza (Population Criteria 4) [Members 66 and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 109 | 109 | Numerator for Adult Immunization Status (AIS-E): Td/Tdap (Population Criteria 4) [Members 66 and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 110 | 110 | Denominator 3 for Adult Immunization Status (AIS-E): Zoster (Population Criteria 3) [Members 50 - 65 years] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 111 | 111 | Numerator for Adult Immunization Status (AIS-E): Zoster (Population Criteria 3) [Members 50 - 65 years] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 112 | 112 | Denominator 4 for Adult Immunization Status (AIS-E): Zoster (Population Criteria 4) [Members 66 and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 113 | 113 | Numerator for Adult Immunization Status (AIS-E): Zoster (Population Criteria 4) [Members 66 and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AIS-E | 1 | 114 | 114 | Denominator 4 for Adult Immunization Status (AIS-E): Pneumococcal (Population Criteria 4) [Members 66 years and older] | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AIS-E | 1 | 115 | 115 | Numerator for Adult Immunization Status (AIS-E): Pneumococcal (Population Criteria 4) [Members 66 years and older] | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMM | 1 | 116 | 116 | Denominator for Antidepressant Medication Management (AMM) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AMM | 1 | 117 | 117 | Numerator for Antidepressant Medication Management (AMM): Effective Acute Phase Treatment | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMM | 1 | 118 | 118 | Numerator for Antidepressant Medication Management (AMM): Effective Continuation Phase Treatment | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMR | 1 | 119 | 119 | Denominator for Asthma Medication Ratio (AMR): 5-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AMR | 1 | 120 | 120 | Numerator for Asthma Medication Ratio (AMR): 5-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMR | 1 | 121 | 121 | Denominator for Asthma Medication Ratio (AMR): 12-18 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AMR | 1 | 122 | 122 | Numerator for Asthma Medication Ratio (AMR): 12-18 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMR | 1 | 123 | 123 | Denominator for Asthma Medication Ratio (AMR): 19-50 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AMR | 1 | 124 | 124 | Numerator for Asthma Medication Ratio (AMR): 19-50 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AMR | 1 | 125 | 125 | Denominator for Asthma Medication Ratio (AMR): 51-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| AMR | 1 | 126 | 126 | Numerator for Asthma Medication Ratio (AMR): 51-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APM-E | 1 | 127 | 127 | Denominator for Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E): 1-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| APM-E | 1 | 128 | 128 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received blood glucose testing (APM-E): 1-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APM-E | 1 | 129 | 129 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received cholesterol testing (APM-E): 1-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APM-E | 1 | 130 | 130 | Denominator for Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| APM-E | 1 | 131 | 131 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received blood glucose testing (APM-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APM-E | 1 | 132 | 132 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received cholesterol testing (APM-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APP | 1 | 133 | 133 | Denominator for Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP): 1-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| APP | 1 | 134 | 134 | Numerator for Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP): 1-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| APP | 1 | 135 | 135 | Denominator for Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| APP | 1 | 136 | 136 | Numerator for Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| AXR | 2 | 137 | 138 | Denominator for Antibiotic Utilization for Respiratory Conditions (AXR) 3m-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AXR | 2 | 139 | 140 | Numerator for Antibiotic Utilization for Respiratory Conditions (AXR) 3m-17 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| AXR | 2 | 141 | 142 | Denominator for Antibiotic Utilization for Respiratory Conditions (AXR) 18-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AXR | 2 | 143 | 144 | Numerator for Antibiotic Utilization for Respiratory Conditions (AXR) 18-64 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| AXR | 2 | 145 | 146 | Denominator for Antibiotic Utilization for Respiratory Conditions (AXR) 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| AXR | 2 | 147 | 148 | Numerator for Antibiotic Utilization for Respiratory Conditions 65+ years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| BCS-E | 1 | 149 | 149 | Denominator for Breast Cancer Screening (BCS-E) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| BCS-E | 1 | 150 | 150 | Numerator for Breast Cancer Screening (BCS-E) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| BPD | 1 | 151 | 151 | Denominator for Blood Pressure Control for Patients with Diabetes (BPD) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| BPD | 1 | 152 | 152 | Numerator for Blood Pressure Control for Patients with Diabetes (BPD) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CBP | 1 | 153 | 153 | Denominator for Controlling High Blood Pressure (CBP) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CBP | 1 | 154 | 154 | Numerator for Controlling High Blood Pressure (CBP) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CCS | 1 | 155 | 155 | Denominator for Cervical Cancer Screening (CCS) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CCS | 1 | 156 | 156 | Numerator for Cervical Cancer Screening (CCS) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CCS-E | 1 | 157 | 157 | Denominator for Cervical Cancer Screening Electronic (CCS-E) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CCS-E | 1 | 158 | 158 | Numerator for Cervical Cancer Screening Electronic (CCS-E) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CET | 1 | 159 | 159 | Denominator for Continued Engagement in Substance Use Disorder Treatment (CET) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CET | 1 | 160 | 160 | Numerator for Continued Engagement in Substance Use Disorder Treatment (CET) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CHL | 1 | 161 | 161 | Denominator for Chlamydia Screening in Women (CHL): 16-20 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CHL | 1 | 162 | 162 | Numerator for Chlamydia Screening in Women (CHL): 16-20 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CHL | 1 | 163 | 163 | Denominator for Chlamydia Screening in Women (CHL): 21-24 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CHL | 1 | 164 | 164 | Numerator for Chlamydia Screening in Women (CHL): 21-24 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 165 | 165 | Denominator for Childhood Immunization Status (CIS) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CIS | 1 | 166 | 166 | Numerator for Childhood Immunization Status (CIS): DTaP | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 167 | 167 | Numerator for Childhood Immunization Status (CIS): IPV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 168 | 168 | Numerator for Childhood Immunization Status (CIS): MMR | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 169 | 169 | Numerator for Childhood Immunization Status (CIS): HiB | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 170 | 170 | Numerator for Childhood Immunization Status (CIS): HepB | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 171 | 171 | Numerator for Childhood Immunization Status (CIS): VZV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 172 | 172 | Numerator for Childhood Immunization Status (CIS): PCV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 173 | 173 | Numerator for Childhood Immunization Status (CIS): HepA | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 174 | 174 | Numerator for Childhood Immunization Status (CIS): RV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 175 | 175 | Numerator for Childhood Immunization Status (CIS): Influenza | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 176 | 176 | Numerator for Childhood Immunization Status (CIS): Combo 3 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 177 | 177 | Numerator for Childhood Immunization Status (CIS): Combo 7 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS | 1 | 178 | 178 | Numerator for Childhood Immunization Status (CIS): Combo 10 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 179 | 179 | Denominator for Childhood Immunization Status Electronic (CIS-E) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CIS-E | 1 | 180 | 180 | Numerator for Childhood Immunization Status Electronic (CIS-E) : DTaP | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 181 | 181 | Numerator for Childhood Immunization Status Electronic (CIS-E): IPV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 182 | 182 | Numerator for Childhood Immunization Status Electronic (CIS-E): MMR | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 183 | 183 | Numerator for Childhood Immunization Status Electronic (CIS-E) : HiB | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 184 | 184 | Numerator for Childhood Immunization Status Electronic (CIS-E) : HepB | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 185 | 185 | Numerator for Childhood Immunization Status Electronic (CIS-E) : VZV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 186 | 186 | Numerator for Childhood Immunization Status Electronic (CIS-E) : PCV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 187 | 187 | Numerator for Childhood Immunization Status Electronic (CIS-E) : HepA | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 188 | 188 | Numerator for Childhood Immunization Status Electronic (CIS-E) : RV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 189 | 189 | Numerator for Childhood Immunization Status Electronic (CIS-E) : Influenza | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 190 | 190 | Numerator for Childhood Immunization Status Electronic (CIS-E) : Combo 3 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 191 | 191 | Numerator for Childhood Immunization Status Electronic (CIS-E) : Combo 7 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CIS-E | 1 | 192 | 192 | Numerator for Childhood Immunization Status Electronic (CIS-E) : Combo 10 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| COL-E | 1 | 193 | 193 | Denominator for Colorectal Cancer Screening Electronic (COL-E): 46-50 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| COL-E | 1 | 194 | 194 | Numerator for Colorectal Cancer Screening Electronic (COL-E): 46-50 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| COL-E | 1 | 195 | 195 | Denominator for Colorectal Cancer Screening (COL-E): 51-75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| COL-E | 1 | 196 | 196 | Numerator for Colorectal Cancer Screening (COL-E): 51-75 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 197 | 197 | Denominator for Cardiac Rehabilitation Initiation 18-64 (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 198 | 198 | Numerator Initiation (CRE): 18-64 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 199 | 199 | Denominator for Cardiac Rehabilitation Initiation 65+ (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 200 | 200 | Numerator Initiation (CRE): 65+ | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 201 | 201 | Denominator for Cardiac Rehabilitation Engagement 1 18-64 (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 202 | 202 | Numerator Engagement 1 (CRE): 18-64 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 203 | 203 | Denominator for Cardiac Rehabilitation Engagement 1 65+ (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 204 | 204 | Numerator Engagement 1 (CRE): 65+ | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 205 | 205 | Denominator for Cardiac Rehabilitation Engagement 2 18-64 (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 206 | 206 | Numerator Engagement 2 (CRE): 18-64 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 207 | 207 | Denominator for Cardiac Rehabilitation Engagement 2 65+ (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 208 | 208 | Numerator Engagement 2 (CRE): 65+ | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 209 | 209 | Denominator for Cardiac Rehabilitation Achievement 18-64 (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 210 | 210 | Numerator Achievement (CRE): 18-64 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CRE | 1 | 211 | 211 | Denominator for Cardiac Rehabilitation Achievement 65+ (CRE) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CRE | 1 | 212 | 212 | Numerator Achievement (CRE): 65+ | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CVS | 1 | 213 | 213 | Denominator for COVID-19 Vaccination Status (CVS): 6 months - 4 years old | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CVS | 1 | 214 | 214 | Numerator for COVID-19 Vaccination Status (CVS): 6 months - 4 years old | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CVS | 1 | 215 | 215 | Denominator for COVID-19 Vaccination Status (CVS): 5-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CVS | 1 | 216 | 216 | Numerator for COVID-19 Vaccination Status (CVS): 5-11 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CVS | 1 | 217 | 217 | Denominator for COVID-19 Vaccination Status (CVS): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CVS | 1 | 218 | 218 | Numerator for COVID-19 Vaccination Status (CVS): 12-17 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CVS | 1 | 219 | 219 | Denominator for COVID-19 Vaccination Status (CVS): 18- 64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| CVS | 1 | 220 | 220 | Numerator for COVID-19 Vaccination Status (CVS): 18-64 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| CWP | 2 | 221 | 222 | Denominator for Appropriate Testing for Pharyngitis (CWP): 3-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| CWP | 2 | 223 | 224 | Numerator for Appropriate Testing for Pharyngitis (CWP): 3-17 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| CWP | 2 | 225 | 226 | Denominator for Appropriate Testing for Pharyngitis (CWP): 18-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| CWP | 2 | 227 | 228 | Numerator for Appropriate Testing for Pharyngitis (CWP): 18-64 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| CWP | 2 | 229 | 230 | Denominator for Appropriate Testing for Pharyngitis (CWP): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| CWP | 2 | 231 | 232 | Numerator for Appropriate Testing for Pharyngitis (CWP): 65+ years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| DEV-N | 1 | 233 | 233 | Denominator for Development Screening 1 (DEV-N) : The children in the eligible population who turned 1 during the measurement year. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DEV-N | 1 | 234 | 234 | Numerator (DEV-N): First Year | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DEV-N | 1 | 235 | 235 | Denominator for Development Screening 2 (DEV-N): The children in the eligible population who turned 2 during the measurement year. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DEV-N | 1 | 236 | 236 | Numerator (DEV-N): Second Year | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DEV-N | 1 | 237 | 237 | Denominator for Development Screening 3 (DEV-N): The children in the eligible population who turned 3 during the measurement year. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DEV-N | 1 | 238 | 238 | Numerator (DEV-N): Third Year | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 239 | 239 | Denominator 1 for Depression Remission or Response (DRR-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 240 | 240 | Numerator Depression Follow-Up (Population Criteria 1) (DRR-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 241 | 241 | Denominator 1 for Depression Remission or Response (DRR-E): 18-44 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 242 | 242 | Numerator Depression Follow-Up (Population Criteria 1) (DRR-E): 18-44 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 243 | 243 | Denominator 1 for Depression Remission or Response (DRR-E): 45-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 244 | 244 | Numerator Depression Follow-Up (Population Criteria 1) (DRR-E): 45-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 245 | 245 | Denominator 1 for Depression Remission or Response (DRR-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 246 | 246 | Numerator Depression Follow-Up (Population Criteria 1) (DRR-E): 65+ years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 247 | 247 | Denominator 2 for Depression Remission or Response (DRR-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 248 | 248 | Numerator Depression Remission (Population Criteria 2) (DRR-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 249 | 249 | Denominator 2 for Depression Remission or Response (DRR-E): 18-44 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 250 | 250 | Numerator Depression Remission (Population Criteria 2) (DRR-E): 18-44 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 251 | 251 | Denominator 2 for Depression Remission or Response (DRR-E): 45-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 252 | 252 | Numerator Depression Remission (Population Criteria 2) (DRR-E): 45-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 253 | 253 | Denominator 2 for Depression Remission or Response (DRR-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 254 | 254 | Numerator Depression Remission (Population Criteria 2) (DRR-E): 65+ years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 255 | 255 | Denominator 3 for Depression Remission or Response (DRR-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 256 | 256 | Numerator Depression Response (Population Criteria 3) (DRR-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 257 | 257 | Denominator 3 for Depression Remission or Response (DRR-E): 18-44 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 258 | 258 | Numerator Depression Response (Population Criteria 3) (DRR-E): 18-44 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 259 | 259 | Denominator 3 for Depression Remission or Response (DRR-E): 45-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 260 | 260 | Numerator Depression Response (Population Criteria 3) (DRR-E): 45-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DRR-E | 1 | 261 | 261 | Denominator 3 for Depression Remission or Response (DRR-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DRR-E | 1 | 262 | 262 | Numerator Depression Response (Population Criteria 3) (DRR-E): 65+ years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 263 | 263 | Denominator 1 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 264 | 264 | Numerator Depression Screening (Population Criteria 1) (DSF-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 265 | 265 | Denominator 1 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 266 | 266 | Numerator Depression Screening (Population Criteria 1) (DSF-E): 18-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 267 | 267 | Denominator 1 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 268 | 268 | Numerator Depression Screening (Population Criteria 1) (DSF-E): 65+ years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 269 | 269 | Denominator 2 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 270 | 270 | Numerator Follow-Up on Positive Screen (Population Criteria 2) (DSF-E): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 271 | 271 | Denominator 2 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 272 | 272 | Numerator Follow-Up on Positive Screen (Population Criteria 2) (DSF-E): 18-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| DSF-E | 1 | 273 | 273 | Denominator 2 for Depression Screening and Follow-up for Adolescents and Adults (DSF-E): 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| DSF-E | 1 | 274 | 274 | Numerator Follow-Up on Positive Screen (Population Criteria 2) (DSF-E): 65+ years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| EED | 1 | 275 | 275 | Denominator for Eye Exam for Patients with Diabetes (EED) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| EED | 1 | 276 | 276 | Numerator for Eye Exam for Patients with Diabetes (EED) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| FUA | 2 | 277 | 278 | Denominator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 13-17 years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUA | 2 | 279 | 280 | Numerator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 13-17 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUA | 2 | 281 | 282 | Numerator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 13-17 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUA | 2 | 283 | 284 | Denominator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 18+ years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUA | 2 | 285 | 286 | Numerator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 18+ years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUA | 2 | 287 | 288 | Numerator for Follow-Up After Emergency Department Visit for Substance Use (FUA): 18+ years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUH | 2 | 289 | 290 | Denominator for Follow-Up After Hospitalization for Mental Illness (FUH): 6-17 years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUH | 2 | 291 | 292 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 6-17 years, 30-day follow-up | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUH | 2 | 293 | 294 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 6-17 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUH | 2 | 295 | 296 | Denominator for Follow-Up After Hospitalization for Mental Illness (FUH): 18-64 years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUH | 2 | 297 | 298 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 18-64 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUH | 2 | 299 | 300 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 18-64 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUH | 2 | 301 | 302 | Denominator for Follow-Up After Hospitalization for Mental Illness (FUH): 65+ years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUH | 2 | 303 | 304 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 65+ years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUH | 2 | 305 | 306 | Numerator for Follow-Up After Hospitalization for Mental Illness (FUH): 65+ years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 307 | 308 | Denominator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 13-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| FUI | 2 | 309 | 310 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 13-17 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 311 | 312 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 13-17 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 313 | 314 | Denominator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 18-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| FUI | 2 | 315 | 316 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 18-64 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 317 | 318 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 18-64 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 319 | 320 | Denominator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| FUI | 2 | 321 | 322 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 65+ years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUI | 2 | 323 | 324 | Numerator for Follow-Up After High-Intensity Care for Substance Use Disorder (FUI): 65+ years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 325 | 326 | Denominator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 6-17 years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUM | 2 | 327 | 328 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 6-17 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 329 | 330 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 6-17 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 331 | 332 | Denominator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 18-64 years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUM | 2 | 333 | 334 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 18-64 years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 335 | 336 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 18-64 years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 337 | 338 | Denominator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 65+ years | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| FUM | 2 | 339 | 340 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 65+ years, 30-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| FUM | 2 | 341 | 342 | Numerator for Follow-Up After Emergency Department Visit for Mental Illness (FUM): 65+ years, 7-day follow-up | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| GSD | 1 | 343 | 343 | Denominator for Glycemic Status Assessment for Patients With Diabetes (GSD) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| GSD | 1 | 344 | 344 | Numerator for Glycemic Status <8.0% (GSD) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| GSD | 1 | 345 | 345 | Numerator for Glycemic Status >9.0% (GSD) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| HDO | 1 | 346 | 346 | Denominator for Use of Opioids at High Dosage (HDO) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| HDO | 1 | 347 | 347 | Numerator for Use of Opioids at High Dosage (HDO) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IET | 2 | 348 | 349 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET) 13-17 years old | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 350 | 351 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment 13-17 year olds Alcohol Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 352 | 353 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 13-17 years Alcohol Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 354 | 355 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 13-17 years Opioid Use Disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 356 | 357 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 13-17 years Opioid Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 358 | 359 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 13-17 years Opioid Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 360 | 361 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 13-17 years Other substance use disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 362 | 363 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 13-17 years Other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 364 | 365 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 13-17 years Other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 366 | 367 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 18-64 years Alcohol Use Disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 368 | 369 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 18-64 years Alcohol Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 370 | 371 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 18-64 years Alcohol Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 372 | 373 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 18-64 years Opioid Use Disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 374 | 375 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 18-64 years Opioid Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 376 | 377 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 18-64 years Opioid Use Disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 378 | 379 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 18-64 years Other substance use disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 380 | 381 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 18-64 years Other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 382 | 383 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 18-64 years Other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 384 | 385 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 65+ years Alcohol Use Disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 386 | 387 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 65+ years Alcohol use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 388 | 389 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 65+ years Alcohol use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 390 | 391 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 65+ years Opioid use disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 392 | 393 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of SUD Treatment, 65+ years Opioid use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 394 | 395 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of SUD Treatment, 65+ years Opioid use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 396 | 397 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 65+ other substance use disorder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| IET | 2 | 398 | 399 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of Other substance use disorder, 65+ other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IET | 2 | 400 | 401 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of other substance use disorder 65+ other substance use disorder | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| IMA | 1 | 402 | 402 | Denominator for Immunizations for Adolescents (IMA) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| IMA | 1 | 403 | 403 | Numerator for Immunizations for Adolescents (IMA): Meningococcal | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA | 1 | 404 | 404 | Numerator for Immunizations for Adolescents (IMA): Tdap | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA | 1 | 405 | 405 | Numerator for Immunizations for Adolescents (IMA): Combo 1 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA | 1 | 406 | 406 | Numerator for Immunizations for Adolescents (IMA): HPV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA | 1 | 407 | 407 | Numerator for Immunizations for Adolescents (IMA): Combo 2 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA-E | 1 | 408 | 408 | Denominator for Immunizations for Adolescents Electronic (IMA-E) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| IMA-E | 1 | 409 | 409 | Numerator for Immunizations for Adolescents Electronic (IMA-E): Meningococcal | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA-E | 1 | 410 | 410 | Numerator for Immunizations for Adolescents Electronic (IMA-E): Tdap | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA-E | 1 | 411 | 411 | Numerator for Immunizations for Adolescents Electronic (IMA-E): Combo 1 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA-E | 1 | 412 | 412 | Numerator for Immunizations for Adolescents Electronic (IMA-E): HPV | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| IMA-E | 1 | 413 | 413 | Numerator for Immunizations for Adolescents Electronic (IMA-E): Combo 2 | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| KED | 1 | 414 | 414 | Denominator for Kidney Health Evaluation for Patients With Diabetes (KED): 18-64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| KED | 1 | 415 | 415 | Numerator for Kidney Health Evaluation for Patients With Diabetes (KED): 18-64 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| KED | 1 | 416 | 416 | Denominator for Kidney Health Evaluation for Patients With Diabetes (KED): 65-74 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| KED | 1 | 417 | 417 | Numerator for Kidney Health Evaluation for Patients With Diabetes (KED): 65-74 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| KED | 1 | 418 | 418 | Denominator for Kidney Health Evaluation for Patients With Diabetes (KED): 75-85 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| KED | 1 | 419 | 419 | Numerator for Kidney Health Evaluation for Patients With Diabetes (KED): 75-85 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| LBP | 1 | 420 | 420 | Denominator for Use of Imaging Studies for Low Back Pain (LBP), Ages 18-64 Years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| LBP | 1 | 421 | 421 | Numerator for Use of Imaging Studies for Low Back Pain (LBP), Ages 18-64 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| LBP | 1 | 422 | 422 | Denominator for Use of Imaging Studies for Low Back Pain (LBP), Ages 65-75 Years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| LBP | 1 | 423 | 423 | Numerator for Use of Imaging Studies for Low Back Pain (LBP), Ages 65-75 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| LSC | 1 | 424 | 424 | Denominator for Lead Screening in Children (LSC) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| LSC | 1 | 425 | 425 | Numerator for Lead Screening in Children (LSC) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| OED | 1 | 426 | 426 | Denominator: Oral Evaluation, Dental Services (OED) - 0-2 years |
Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| OED | 1 | 427 | 427 | Numerator: Oral Evaluation, Dental Services (OED) - 0-2 years |
Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| OED | 1 | 428 | 428 | Denominator: Oral Evaluation, Dental Services (OED) -3-5 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| OED | 1 | 429 | 429 | Numerator: Oral Evaluation, Dental Services (OED) -3-5 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| OED | 1 | 430 | 430 | Denominator: Oral Evaluation, Dental Services (OED) - 6-14 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| OED | 1 | 431 | 431 | Numerator: Oral Evaluation, Dental Services (OED) - 6-14 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| OED | 1 | 432 | 432 | Denominator: Oral Evaluation, Dental Services (OED) - 15-20 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| OED | 1 | 433 | 433 | Numerator: Oral Evaluation, Dental Services (OED) - 15-20 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| PBH | 1 | 434 | 434 | Denominator for Persistence of Beta-Blocker Treatment After a Heart Attack (PBH) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| PBH | 1 | 435 | 435 | Numerator for Persistence of Beta-Blocker Treatment After a Heart Attack (PBH) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| PCE | 2 | 436 | 437 | Denominator for Pharmacotherapy Management of COPD Exacerbation (PCE) | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| PCE | 2 | 438 | 439 | Numerator for Pharmacotherapy Management of COPD Exacerbation (PCE): Systemic Corticosteroid | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PCE | 2 | 440 | 441 | Numerator for Pharmacotherapy Management of COPD Exacerbation (PCE): Bronchodilator | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PDS-E | 2 | 442 | 443 | Denominator 1 for Postpartum Depression Screening (PDS-E) | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PDS-E | 2 | 444 | 445 | Numerator 1 for Postpartum Depression Screening (PDS-E) | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PDS-E | 2 | 446 | 447 | Denominator 2 for Postpartum Depression Follow-up (PDS-E) | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PDS-E | 2 | 448 | 449 | Numerator 2 for Postpartum Depression Follow-up (PDS-E) | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PND-E | 2 | 450 | 451 | Denominator for Prenatal Depression Screening and Follow-Up-Electronic (PND-E): Denominator 1 Initial Population | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PND-E | 2 | 452 | 453 | Numerator for Prenatal Depression Screening and Follow-Up-Electronic (PND-E): Numerator 1 Depression Screening | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PND-E | 2 | 454 | 455 | Denominator for Prenatal Depression Screening and Follow Up Electronic (PND-E): Denominator 2 All deliveries from Numerator 1 with a positive finding for depression during pregnancy | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PND-E | 2 | 456 | 457 | Numerator for Prenatal Depression Screening and Follow-Up-Electronic (PND-E): Numerator 2—Follow-Up on Positive Screen | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| POA | 1 | 458 | 458 | Denominator for Use of Pharmacotherapy for Alcohol Use or Dependence (POA) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| POA | 1 | 459 | 459 | Numerator for Use of Pharmacotherapy for Alcohol Use or Dependence (POA) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| POD | 2 | 460 | 461 | Denominator for Pharmacotherapy for Opioid Use Disorder (POD): 16-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| POD | 2 | 462 | 463 | Numerator for Pharmacotherapy for Opioid Use Disorder (POD): 16-64 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| POD | 2 | 464 | 465 | Denominator for Pharmacotherapy for Opioid Use Disorder (POD): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| POD | 2 | 466 | 467 | Numerator for Pharmacotherapy for Opioid Use Disorder (POD): 65+ years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| POD-N | 1 | 468 | 468 | Denominator for Initiation of Pharmacotherapy upon New Episode of Opioid Dependence (POD-N) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| POD-N | 1 | 469 | 469 | Numerator for Initiation of Pharmacotherapy upon New Episode of Opioid Dependence (POD-N) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| PPC | 2 | 470 | 471 | Denominator for Prenatal and Postpartum Care (PPC): Timeliness of Prenatal Care | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PPC | 2 | 472 | 473 | Numerator for Prenatal and Postpartum Care (PPC): Timeliness of Prenatal Care | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PPC | 2 | 474 | 475 | Denominator for Prenatal and Postpartum Care (PPC): Postpartum Care | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PPC | 2 | 476 | 477 | Numerator for Prenatal and Postpartum Care (PPC): Postpartum Care | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PRS-E | 2 | 478 | 479 | Denominator for Prenatal Immunization Status (PRS-E) | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
| PRS-E | 2 | 480 | 481 | Numerator for Prenatal Immunization Status (PRS-E): Influenza (Population Criteria 1) | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| PRS-E | 2 | 482 | 483 | Numerator for Prenatal Immunization Status (PRS-E): Td/Tdap (Population Criteria 2) | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| SAA | 1 | 484 | 484 | Denominator for Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SAA | 1 | 485 | 485 | Numerator for Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SMC | 1 | 486 | 486 | Denominator for Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SMC | 1 | 487 | 487 | Numerator for Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SMD | 1 | 488 | 488 | Denominator for Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SMD | 1 | 489 | 489 | Numerator for Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 490 | 490 | Social Need Screening and Intervention (SNS-E) Denominator 1: The initial population, minus exclusions. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 491 | 491 | Social Need Screening and Intervention (SNS-E) Numerator 1— Total Number of Members in denominator 1 with a documented result for food insecurity screening performed between January 1 and December 1 of the measurement period. | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 492 | 492 | Social Need Screening and Intervention (SNS-E) Denominator 2: All members in numerator 1 with a positive food insecurity screen finding between January 1 and December 1 of the measurement period. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 493 | 493 | Social Need Screening and Intervention (SNS-E) Numerator 2: Total Number of Members in denominator 2 receiving a food insecurity intervention on or up to 30 days after the date of the first positive food insecurity screen (31 days total). | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 494 | 494 | Social Need Screening and Intervention (SNS-E)Denominator 3 : The initial population, minus exclusions | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 495 | 495 | Social Need Screening and Intervention (SNS-E) Numerator 3: Total Number of Members in denominator 1 with a documented result for housing instability, homelessness or housing inadequacy screening performed between January 1 and December 1 of the measurement period. | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 496 | 496 | Social Need Screening and Intervention (SNS-E) Denominator 4: All members in numerator 3 with a positive housing instability, homelessness or housing inadequacy screen finding between January 1 and December 1 of the measurement period. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 497 | 497 | Social Need Screening and Intervention (SNS-E) Numerator 4—Total Number of Members in denominator 4 receiving an intervention corresponding to the type of housing need identified on or up to 30 days after the date of the first positive housing screen (31 days total). | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 498 | 498 | Social Need Screening and Intervention (SNS-E) Denominator 5: The initial population, minus exclusions. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 499 | 499 | Social Need Screening and Intervention (SNS-E) Numerator 5: Members in denominator 4 receiving an intervention corresponding to the type of housing need identified on or up to 30 days after the date of the first positive housing screen (31 days total). | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SNS-E | 1 | 500 | 500 | Social Need Screening and Intervention (SNS-E) Denominator 6: All members in numerator 5 with a positive transportation insecurity screen finding between January 1 and December 1 of the measurement period | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SNS-E | 1 | 501 | 501 | Social Need Screening and Intervention (SNS-E) Numerator 6: Total Number of Members in denominator 6 receiving a transportation insecurity intervention on or up to 30 days after the date of the first positive transportation screen (31 days total). | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPC | 1 | 502 | 502 | Denominator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Males 21-75, Received Statin Therapy | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPC | 1 | 503 | 503 | Numerator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Males 21-75, Received Statin Therapy | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPC | 1 | 504 | 504 | Denominator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Males 21-75, Statin Adherence 80% | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPC | 1 | 505 | 505 | Numerator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Males 21-75, Statin Adherence 80% | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPC | 1 | 506 | 506 | Denominator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Females 40-75, Received Statin Therapy | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPC | 1 | 507 | 507 | Numerator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Females 40-75, Received Statin Therapy | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPC | 1 | 508 | 508 | Denominator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Females 40-75, Statin Adherence 80% | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPC | 1 | 509 | 509 | Numerator for Statin Therapy for Patients With Cardiovascular Disease (SPC): Females 40-75, Statin Adherence 80% | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPD | 1 | 510 | 510 | Denominator for Statin Therapy for Patients With Diabetes (SPD): Received Statin Therapy | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPD | 1 | 511 | 511 | Numerator for Statin Therapy for Patients With Diabetes (SPD): Received Statin Therapy | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SPD | 1 | 512 | 512 | Denominator for Statin Therapy for Patients With Diabetes (SPD): Statin Adherence 80% | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SPD | 1 | 513 | 513 | Numerator for Statin Therapy for Patients With Diabetes (SPD): Statin Adherence 80% | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| SSD | 1 | 514 | 514 | Denominator for Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| SSD | 1 | 515 | 515 | Numerator for Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| TFC | 1 | 516 | 516 | Denominator: Topical Fluoride for Children (TFC) - 1-2 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| TFC | 1 | 517 | 517 | Numerator: Topical Fluoride for Children (TFC) - 1-2 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| TFC | 1 | 518 | 518 | Denominator: Topical Fluoride for Children (TFC) - 3-4 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| TFC | 1 | 519 | 519 | Numerator: Topical Fluoride for Children (TFC) - 3- 4 Years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| UOP | 1 | 520 | 520 | Denominator for Use of Opioids from Multiple Providers (UOP) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| UOP | 1 | 521 | 521 | Numerator for Use of Opioids from Multiple Providers (UOP): Multiple prescribers | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| UOP | 1 | 522 | 522 | Numerator for Use of Opioids from Multiple Providers (UOP): Multiple pharmacies | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| UOP | 1 | 523 | 523 | Numerator for Use of Opioids from Multiple Providers (UOP): Multiple prescribers and pharmacies | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| URI | 2 | 524 | 525 | Denominator for Appropriate Treatment for Upper Respiratory Infection (URI): 3 months-17 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| URI | 2 | 526 | 527 | Numerator for Appropriate Treatment for Upper Respiratory Infection (URI): 3 months-17 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| URI | 2 | 528 | 529 | Denominator for Appropriate Treatment for Upper Respiratory Infection (URI): 18-64 years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| URI | 2 | 530 | 531 | Numerator for Appropriate Treatment for Upper Respiratory Infection (URI): 18-64 years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| URI | 2 | 532 | 533 | Denominator for Appropriate Treatment for Upper Respiratory Infection (URI): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
| URI | 2 | 534 | 535 | Numerator for Appropriate Treatment for Upper Respiratory Infection (URI): 65+ years | Enter: The number of times this member is in the numerator '0' if the member is not in the numerator OR the information is missing |
| W30 | 1 | 536 | 536 | Denominator for Well-Child Visits in the First 15 Months (W30). Children who turned 15 months old during MY: Six or more well-child visits | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| W30 | 1 | 537 | 537 | Numerator for Well-Child Visits in the First 15 Months (W30). Children who turned 15 months old during MY: Six or more well-child visits | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| W30 | 1 | 538 | 538 | Denominator for Well-Child Visits for Age 15 Months-30 Months (W30). Children who turned 30 months old during the MY: Two or more well-child visits. | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| W30 | 1 | 539 | 539 | Numerator for Well-Child Visits for Age 15 Months-30 Months (W30). Children who turned 30 months old during the MY: Two or more well-child visits. | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 540 | 540 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): BMI Percentile, 3-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 541 | 541 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): BMI Percentile, 3-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 542 | 542 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): BMI Percentile, 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 543 | 543 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): BMI Percentile, 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 544 | 544 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Nutrition, 3-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 545 | 545 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Nutrition, 3-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 546 | 546 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Nutrition, 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 547 | 547 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Nutrition, 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 548 | 548 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Physical Activity, 3-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 549 | 549 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Physical Activity, 3-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCC | 1 | 550 | 550 | Denominator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Physical Activity, 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCC | 1 | 551 | 551 | Numerator for Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC): Counseling for Physical Activity, 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCV | 1 | 552 | 552 | Denominator for Child and Adolescent Well-Care Visits (WCV): 3-11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCV | 1 | 553 | 553 | Numerator for Child and Adolescent Well-Care Visits (WCV): 3-11 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCV | 1 | 554 | 554 | Denominator for Child and Adolescent Well-Care Visits (WCV): 12-17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCV | 1 | 555 | 555 | Numerator for Child and Adolescent Well-Care Visits (WCV): 12-17 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
| WCV | 1 | 556 | 556 | Denominator for Child and Adolescent Well-Care Visits (WCV): 18-21 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
| WCV | 1 | 557 | 557 | Numerator for Child and Adolescent Well-Care Visits (WCV): 18-21 years | Enter: '1' if this member is in the numerator '0' if this member is not in the numerator OR the information for this member is missing |
NYS MY2023 Patient-Level Detail File Change Log
COMMERCIAL
| Version | Date | Data Element | Change Summary |
|---|---|---|---|
| MY2024 | 12/7/2023 | Multiple | Asian American Subgroups
Adding a "two or more subgroups" option Native Hawaiian/Pacific Islander Subgroups Adding a "two or more subgroups" option
|
