Medicaid MY2022 PLD File Specifications
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NYS MY2022 Patient-Level Detail File Specifications
Revision date: October 25, 2022
MEDICAID
| 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####### |
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| 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) |
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| 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 gender 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 |
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| ABA | 1 | 66 | 66 | Retired | blank | ||||
| ABA | 1 | 67 | 67 | Retired | blank | ||||
| WCC | 1 | 68 | 68 | 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 |
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| WCC | 1 | 69 | 69 | 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 |
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| WCC | 1 | 70 | 70 | 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 |
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| WCC | 1 | 71 | 71 | 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 |
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| WCC | 1 | 72 | 72 | 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 |
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| WCC | 1 | 73 | 73 | 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 |
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| WCC | 1 | 74 | 74 | 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 |
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| WCC | 1 | 75 | 75 | 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 |
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| WCC | 1 | 76 | 76 | 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 |
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| WCC | 1 | 77 | 77 | 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 |
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| WCC | 1 | 78 | 78 | 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 |
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| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| WCC | 1 | 79 | 79 | 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 |
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| CIS | 1 | 80 | 80 | Denominator for Childhood Immunization Status (CIS) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| CIS | 1 | 81 | 81 | 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 |
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| CIS | 1 | 82 | 82 | 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 |
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| CIS | 1 | 83 | 83 | 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 |
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| CIS | 1 | 84 | 84 | 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 |
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| CIS | 1 | 85 | 85 | 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 |
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| CIS | 1 | 86 | 86 | 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 |
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| CIS | 1 | 87 | 87 | 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 |
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| CIS | 1 | 88 | 88 | 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 |
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| CIS | 1 | 89 | 89 | 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 |
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| CIS | 1 | 90 | 90 | 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 |
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| CIS | 1 | 91 | 91 | Numerator for Childhood Immunization Status (CIS): 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 |
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| CIS | 1 | 92 | 92 | 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 |
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| CIS | 1 | 93 | 93 | Numerator for Childhood Immunization Status (CIS): Combo 4 | 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 |
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| CIS | 1 | 94 | 94 | Numerator for Childhood Immunization Status (CIS): Combo 5 | 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 |
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| CIS | 1 | 95 | 95 | Numerator for Childhood Immunization Status (CIS): Combo 6 | 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 |
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| CIS | 1 | 96 | 96 | 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 |
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| CIS | 1 | 97 | 97 | Numerator for Childhood Immunization Status (CIS): Combo 8 | 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 |
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| CIS | 1 | 98 | 98 | Numerator for Childhood Immunization Status (CIS): Combo 9 | 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 |
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| CIS | 1 | 99 | 99 | 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 |
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| IMA | 1 | 100 | 100 | Denominator for Immunizations for Adolescents (IMA) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| IMA | 1 | 101 | 101 | 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 |
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| IMA | 1 | 102 | 102 | 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 |
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| IMA | 1 | 103 | 103 | 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 |
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| IMA | 1 | 104 | 104 | 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 |
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| IMA | 1 | 105 | 105 | 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 |
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| LSC | 1 | 106 | 106 | 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 |
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| LSC | 1 | 107 | 107 | 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 |
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| BCS | 1 | 108 | 108 | Removed from PLD‐ See BCS‐E | blank | ||||
| BCS | 1 | 109 | 109 | Removed from PLD‐ See BCS‐E | blank | ||||
| CCS | 1 | 110 | 110 | Denominator for Cervical Cancer Screening (CCS) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| CCS | 1 | 111 | 111 | 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 |
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| CHL | 1 | 112 | 112 | 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 |
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| CHL | 1 | 113 | 113 | 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 |
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| CHL | 1 | 114 | 114 | 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 |
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| CHL | 1 | 115 | 115 | 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 |
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| CWP | 2 | 116 | 117 | Denominator for Appropriate Testing 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 |
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| CWP | 2 | 118 | 119 | Numerator for Appropriate Testing 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 |
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| CWP | 2 | 120 | 121 | Denominator for Appropriate Testing 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 |
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| CWP | 2 | 122 | 123 | Numerator for Appropriate Testing 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 |
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| CWP | 2 | 124 | 125 | Denominator for Appropriate Testing Pharyngitis (CWP): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
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| CWP | 2 | 126 | 127 | Numerator for Appropriate Testing 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 |
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| CWP | 2 | 128 | 129 | Denominator Total | blank | ||||
| CWP | 2 | 130 | 131 | Numerator Total | blank | ||||
| SPR | 1 | 132 | 132 | Denominator for Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| SPR | 1 | 133 | 133 | Numerator for Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR) | 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 |
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| PCE | 2 | 134 | 135 | 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 |
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| PCE | 2 | 136 | 137 | 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 |
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| PCE | 2 | 138 | 139 | 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 |
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| MMA | 1 | 140 | 140 | Retired | blank | ||||
| MMA | 1 | 141 | 141 | Retired | blank | ||||
| MMA | 1 | 142 | 142 | Retired | blank | ||||
| MMA | 1 | 143 | 143 | Retired | blank | ||||
| MMA | 1 | 144 | 144 | Retired | blank | ||||
| MMA | 1 | 145 | 145 | Retired | blank | ||||
| MMA | 1 | 146 | 146 | Retired | blank | ||||
| MMA | 1 | 147 | 147 | Retired | blank | ||||
| MMA | 1 | 148 | 148 | Retired | blank | ||||
| MMA | 1 | 149 | 149 | Retired | blank | ||||
| MMA | 1 | 150 | 150 | Retired | blank | ||||
| MMA | 1 | 151 | 151 | Retired | blank | ||||
| AMR | 1 | 152 | 152 | 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 |
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| AMR | 1 | 153 | 153 | 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 |
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| AMR | 1 | 154 | 154 | 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 |
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| AMR | 1 | 155 | 155 | 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 |
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| AMR | 1 | 156 | 156 | 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 |
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| AMR | 1 | 157 | 157 | 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 |
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| AMR | 1 | 158 | 158 | 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 |
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| AMR | 1 | 159 | 159 | 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 |
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| CBP | 1 | 160 | 160 | 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 |
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| CBP | 1 | 161 | 161 | 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 |
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| PBH | 1 | 162 | 162 | 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 |
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| PBH | 1 | 163 | 163 | 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 |
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| SPC | 1 | 164 | 164 | 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 |
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| SPC | 1 | 165 | 165 | 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 |
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| SPC | 1 | 166 | 166 | 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 |
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| SPC | 1 | 167 | 167 | 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 |
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| SPC | 1 | 168 | 168 | 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 |
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| SPC | 1 | 169 | 169 | 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 |
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| SPC | 1 | 170 | 170 | 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 |
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| SPC | 1 | 171 | 171 | 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 |
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| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| CDC | 1 | 172 | 172 | Retired | blank | ||||
| CDC | 1 | 173 | 173 | Retired | blank | ||||
| CDC | 1 | 174 | 174 | Retired | blank | ||||
| CDC | 1 | 175 | 175 | Retired | blank | ||||
| CDC | 1 | 176 | 176 | Retired | blank | ||||
| CDC | 1 | 177 | 177 | Retired | blank | ||||
| CDC | 1 | 178 | 178 | Retired | blank | ||||
| CDC | 1 | 179 | 179 | Retired | blank | ||||
| CDC | 1 | 180 | 180 | Retired | blank | ||||
| CDC | 1 | 181 | 181 | Retired | blank | ||||
| CDC | 1 | 182 | 182 | Retired | blank | ||||
| CDC | 1 | 183 | 183 | Retired | blank | ||||
| CDC | 1 | 184 | 184 | Retired | blank | ||||
| CDC | 1 | 185 | 185 | Retired | blank | ||||
| SPD | 1 | 186 | 186 | 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 |
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| SPD | 1 | 187 | 187 | 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 |
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| SPD | 1 | 188 | 188 | 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 |
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| SPD | 1 | 189 | 189 | 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 |
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| AMM | 1 | 190 | 190 | Denominator for Antidepressant Medication Management (AMM) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| AMM | 1 | 191 | 191 | 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 |
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| AMM | 1 | 192 | 192 | 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 |
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| ADD | 1 | 193 | 193 | Denominator for Follow‐Up Care for Children Prescribed ADHD Medication (ADD): Initiation Phase | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| ADD | 1 | 194 | 194 | Numerator for Follow‐Up Care for Children Prescribed ADHD Medication (ADD): 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 |
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| ADD | 1 | 195 | 195 | Denominator for Follow‐Up Care for Children Prescribed ADHD Medication (ADD): Continuation and Maintenance (C&M) Phase | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| ADD | 1 | 196 | 196 | Numerator for Follow‐Up Care for Children Prescribed ADHD Medication (ADD): 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 |
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| FUH | 2 | 197 | 198 | Denominator 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 denominator '0' if the member is not in the denominator |
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| FUH | 2 | 199 | 200 | 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 |
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| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| FUH | 2 | 201 | 202 | Denominator 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 denominator '0' if the member is not in the denominator |
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| FUH | 2 | 203 | 204 | 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 |
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| FUH | 2 | 205 | 206 | Denominator for Follow‐Up After Hospitalization for Mental Illness (FUH): 65+ years, 7‐day follow‐up | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
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| FUH | 2 | 207 | 208 | 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 |
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| FUH | 2 | 209 | 210 | Denominator 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 |
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| FUH | 2 | 211 | 212 | 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 the numerator '0' if the member is not in the numerator OR the information is missing |
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| FUH | 2 | 213 | 214 | Denominator 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 denominator '0' if the member is not in the denominator |
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| FUH | 2 | 215 | 216 | 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 |
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| FUH | 2 | 217 | 218 | Denominator for Follow‐Up After Hospitalization for Mental Illness (FUH): 65+ years, 30‐day follow‐up | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
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| FUH | 2 | 219 | 220 | 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 |
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| SSD | 1 | 221 | 221 | 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 |
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| SSD | 1 | 222 | 222 | 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 |
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| SMD | 1 | 223 | 223 | 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 |
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| SMD | 1 | 224 | 224 | 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 |
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| SMC | 1 | 225 | 225 | 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 | 226 | 226 | 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 |
||||
| SAA | 1 | 227 | 227 | 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 | 228 | 228 | 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 |
||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| APM | 1 | 229 | 229 | Denominator for Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM): 1‐11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| APM | 1 | 230 | 230 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received blood glucose testing (APM): 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 | 1 | 231 | 231 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received cholesterol testing (APM): 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 | 1 | 232 | 232 | Denominator for Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM): 12‐17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| APM | 1 | 233 | 233 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received blood glucose testing (APM): 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 | 1 | 234 | 234 | Numerator for Metabolic Monitoring for Children and Adolescents on Antipsychotics who received cholesterol testing (APM): 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 |
||||
| NCS | 1 | 235 | 235 | Denominator for Non‐Recommended Cervical Cancer Screening in Adolescent Females (NCS) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| NCS | 1 | 236 | 236 | Numerator for Non‐Recommended Cervical Cancer Screening in Adolescent Females (NCS) | 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 | 237 | 238 | 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 | 239 | 240 | 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 | 241 | 242 | 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 | 243 | 244 | 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 | 245 | 246 | 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 | 247 | 248 | 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 |
||||
| URI | 2 | 249 | 250 | Denominator Total ‐ Removed | blank | ||||
| URI | 2 | 251 | 252 | Numerator Total ‐Removed | blank | ||||
| AAB | 2 | 253 | 254 | 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 | 255 | 256 | 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 | 257 | 258 | 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 |
||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| AAB | 2 | 259 | 260 | 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 | 261 | 262 | 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 | 263 | 264 | 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 |
||||
| AAB | 2 | 265 | 266 | Denominator Total ‐ Removed | blank | ||||
| AAB | 2 | 267 | 268 | Numerator Total ‐Removed | blank | ||||
| LBP | 1 | 269 | 269 | Moved to group with other age stratifications | blank | ||||
| LBP | 1 | 270 | 270 | Moved to group with other age stratifications | blank | ||||
| AAP | 1 | 271 | 271 | 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 | 272 | 272 | 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 | 273 | 273 | 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 | 274 | 274 | 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 | 275 | 275 | 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 | 276 | 276 | 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 |
||||
| CAP | 1 | 277 | 277 | Retired | blank | ||||
| CAP | 1 | 278 | 278 | Retired | blank | ||||
| CAP | 1 | 279 | 279 | Retired | blank | ||||
| CAP | 1 | 280 | 280 | Retired | blank | ||||
| CAP | 1 | 281 | 281 | Retired | blank | ||||
| CAP | 1 | 282 | 282 | Retired | blank | ||||
| CAP | 1 | 283 | 283 | Retired | blank | ||||
| CAP | 1 | 284 | 284 | Retired | blank | ||||
| ADV | 1 | 285 | 285 | Denominator for Annual Dental Visit (ADV): 2‐3 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| ADV | 1 | 286 | 286 | Numerator for Annual Dental Visit (ADV): 2‐3 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 |
||||
| ADV | 1 | 287 | 287 | Denominator for Annual Dental Visit (ADV): 4‐6 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| ADV | 1 | 288 | 288 | Numerator for Annual Dental Visit (ADV): 4‐6 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 |
||||
| ADV | 1 | 289 | 289 | Denominator for Annual Dental Visit (ADV): 7‐10 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| ADV | 1 | 290 | 290 | Numerator for Annual Dental Visit (ADV): 7‐10 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 |
||||
| ADV | 1 | 291 | 291 | Denominator for Annual Dental Visit (ADV): 11‐14 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| ADV | 1 | 292 | 292 | Numerator for Annual Dental Visit (ADV): 11‐14 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 |
||||
| ADV | 1 | 293 | 293 | Denominator for Annual Dental Visit (ADV): 15‐18 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| ADV | 1 | 294 | 294 | Numerator for Annual Dental Visit (ADV): 15‐18 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 |
||||
| ADV | 1 | 295 | 295 | Denominator for Annual Dental Visit (ADV): 19‐20 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| ADV | 1 | 296 | 296 | Numerator for Annual Dental Visit (ADV): 19‐20 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 |
||||
| IET | 1 | 297 | 297 | 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 | 1 | 298 | 298 | 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 | 1 | 299 | 299 | 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 | 1 | 300 | 300 | 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 | 1 | 301 | 301 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of AOD 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 | 1 | 302 | 302 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of AOD 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 | 1 | 303 | 303 | 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 | 1 | 304 | 304 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of AOD 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 | 1 | 305 | 305 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of AOD 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 | 1 | 306 | 306 | 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 | 1 | 307 | 307 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of AOD 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 | 1 | 308 | 308 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of AOD 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 | 1 | 309 | 309 | 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 | 1 | 310 | 310 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of AOD 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 | 1 | 311 | 311 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of AOD 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 | 1 | 312 | 312 | 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 | 1 | 313 | 313 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of AOD 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 | 1 | 314 | 314 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of AOD 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 |
||||
| PPC | 2 | 315 | 316 | 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 | 317 | 318 | 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 | 319 | 320 | 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 | 321 | 322 | 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 |
||||
| APP | 1 | 323 | 323 | 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 | 324 | 324 | 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 | 325 | 325 | 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 | 326 | 326 | 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 |
||||
| W15 | 1 | 327 | 327 | See W30 | blank | ||||
| W15 | 1 | 328 | 328 | See W30 | blank | ||||
| W15 | 1 | 329 | 329 | See W30 | blank | ||||
| W15 | 1 | 330 | 330 | See W30 | blank | ||||
| W15 | 1 | 331 | 331 | See W30 | blank | ||||
| W15 | 1 | 332 | 332 | See W30 | blank | ||||
| W15 | 1 | 333 | 333 | See W30 | blank | ||||
| W15 | 1 | 334 | 334 | See W30 | blank | ||||
| W34 | 1 | 335 | 335 | See WCV | blank | ||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| W34 | 1 | 336 | 336 | See WCV | blank | ||||
| AWC | 1 | 337 | 337 | See WCV | blank | ||||
| AWC | 1 | 338 | 338 | See WCV | blank | ||||
| FUM | 2 | 339 | 340 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUM | 2 | 341 | 342 | 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 | 343 | 344 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUM | 2 | 345 | 346 | 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 | 347 | 348 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUM | 2 | 349 | 350 | 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 |
||||
| FUM | 2 | 351 | 352 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUM | 2 | 353 | 354 | 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 | 355 | 356 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUM | 2 | 357 | 358 | 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 | 359 | 360 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUM | 2 | 361 | 362 | 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 |
||||
| FUA | 2 | 363 | 364 | 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 | 365 | 366 | 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 | 367 | 368 | 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 | 369 | 370 | 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 |
||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| FUA | 2 | 371 | 372 | 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 | 373 | 374 | 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 |
||||
| ADL | 1 | 375 | 375 | ADL not collected for MY2022 | blank | ||||
| ADL | 1 | 376 | 376 | ADL not collected for MY2022 | blank | ||||
| ADL | 1 | 377 | 377 | ADL not collected for MY2022 | blank | ||||
| ADL | 1 | 378 | 378 | ADL not collected for MY2022 | blank | ||||
| ADL | 1 | 379 | 379 | ADL not collected for MY2022 | blank | ||||
| COL | 1 | 380 | 380 | Removed to group age denominators together | Blank | ||||
| COL | 1 | 381 | 381 | Removed to group age numerators together | Blank | ||||
| POD‐N | 1 | 382 | 382 | Denominator for Initiation of Pharmacotherapy upon New Episode of Opioid Dependence (POD) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| POD‐N | 1 | 383 | 383 | Numerator for Initiation of Pharmacotherapy upon New Episode of Opioid Dependence (POD) | 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 |
||||
| POA | 1 | 384 | 384 | 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 | 385 | 385 | 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 |
||||
| HDO | 1 | 386 | 386 | Denominator for Use of Opiods at High Dosage (UOD) | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| HDO | 1 | 387 | 387 | Numerator for Use of Opiods at High Dosage (UOD) | 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 | 388 | 388 | 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 | 389 | 389 | 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 | 390 | 390 | 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 | 391 | 391 | 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 |
||||
| POD | 2 | 392 | 393 | Denominator for Pharmacotherapy for Opioid 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 | 394 | 395 | Numerator for Pharmacotherapy for Opioid 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 | 396 | 397 | Denominator for Pharmacotherapy for Opioid Disorder (POD): 65+ years | Enter: The number of times this member is in the denominator '0' if the member is not in the denominator |
||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| POD | 2 | 398 | 399 | Numerator for Pharmacotherapy for Opioid 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 |
||||
| FUI | 2 | 400 | 401 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUI | 2 | 402 | 403 | 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 | 404 | 405 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUI | 2 | 406 | 407 | 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 | 408 | 409 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUI | 2 | 410 | 411 | 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 |
||||
| FUI | 2 | 412 | 413 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUI | 2 | 414 | 415 | 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 | 416 | 417 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUI | 2 | 418 | 419 | 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 | 420 | 421 | Denominator 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 denominator '0' if the member is not in the denominator |
||||
| FUI | 2 | 422 | 423 | 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 |
||||
| KED | 1 | 424 | 424 | Denominator for Kidney Health Evaluation for Patients With Diabetes: 18‐64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| KED | 1 | 425 | 425 | Numerator for Kidney Health Evaluation for Patients With Diabetes: 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 | 426 | 426 | Denominator for Kidney Health Evaluation for Patients With Diabetes: 65‐74 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| KED | 1 | 427 | 427 | Numerator for Kidney Health Evaluation for Patients With Diabetes: 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 | 428 | 428 | Denominator for Kidney Health Evaluation for Patients With Diabetes: 75‐85 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| KED | 1 | 429 | 429 | Numerator for Kidney Health Evaluation for Patients With Diabetes: 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 |
||||
| W30 | 1 | 430 | 430 | Denominator for Well‐Child Visits in the First 15 Months. 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 | 431 | 431 | Numerator for Well‐Child Visits in the First 15 Months. 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 | 432 | 432 | Denominator for Well‐Child Visits for Age 15 Months‐30 Months. 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 | 433 | 433 | Numerator for Well‐Child Visits for Age 15 Months‐30 Months. 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 |
||||
| WCV | 1 | 434 | 434 | Denominator for Child and Adolescent Well‐Care Visits: 3‐11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| WCV | 1 | 435 | 435 | Numerator for Child and Adolescent Well‐Care Visits: 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 | 436 | 436 | Denominator for Child and Adolescent Well‐Care Visits: 12‐17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| WCV | 1 | 437 | 437 | Numerator for Child and Adolescent Well‐Care Visits: 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 | 438 | 438 | Denominator for Child and Adolescent Well‐Care Visits: 18‐21 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| WCV | 1 | 439 | 439 | Numerator for Child and Adolescent Well‐Care Visits: 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 |
||||
| BCS‐E | 1 | 440 | 440 | 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 | 441 | 441 | 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 |
||||
| COL‐E | 1 | 442 | 442 | Removed to group age denominators together | Blank | ||||
| COL‐E | 1 | 443 | 443 | Removed to group age denominators together | Blank | ||||
| AIS‐E | 1 | 444 | 444 | Denominator 1 for Adult Immunization Status | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| AIS‐E | 1 | 445 | 445 | Numerator for Adult Immunization Status: Influenza (Population Criteria 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 |
||||
| AIS‐E | 1 | 446 | 446 | Numerator for Adult Immunization Status: Td/Tdap (Population Criteria 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 |
||||
| AIS‐E | 1 | 447 | 447 | Denominator 3 for Adult Immunization Status | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| AIS‐E | 1 | 448 | 448 | Numerator for Adult Immunization Status: Zoster (Population C | 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 |
||||
| PRS‐E | 2 | 449 | 450 | Denominator for Prenatal Immunization Status | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
||||
| PRS‐E | 2 | 451 | 452 | Numerator for Prenatal Immunization Status: 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 | 453 | 454 | Numerator for Prenatal Immunization Status: 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 |
||||
| DSF‐E | 1 | 455 | 455 | Denominator 1 for Depression Screening and Follow‐up: 12‐17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| DSF‐E | 1 | 456 | 456 | Numerator Depression Screening (Population Criteria 1): 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 | 457 | 457 | Denominator 1 for Depression Screening and Follow‐up: 18‐64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| DSF‐E | 1 | 458 | 458 | Numerator Depression Screening (Population Criteria 1): 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 | 459 | 459 | Denominator 1 for Depression Screening and Follow‐up: 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| DSF‐E | 1 | 460 | 460 | Numerator Depression Screening (Population Criteria 1): 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 | 461 | 461 | Denominator 2 for Depression Screening and Follow‐up: 12‐17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| DSF‐E | 1 | 462 | 462 | Numerator Follow‐Up on Positive Screen (Population Criteria 2): 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 | 463 | 463 | Denominator 2 for Depression Screening and Follow‐up: 18‐64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| DSF‐E | 1 | 464 | 464 | Numerator Follow‐Up on Positive Screen (Population Criteria 2): 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 | 465 | 465 | Denominator 2 for Depression Screening and Follow‐up: 65+ years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| DSF‐E | 1 | 466 | 466 | Numerator Follow‐Up on Positive Screen (Population Criteria 2): 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 |
||||
| PDS‐E | 2 | 467 | 468 | Denominator 1 for Postpartum Depression Screening | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
||||
| PDS‐E | 2 | 469 | 470 | Numerator 1 for Postpartum 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 |
||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| PDS‐E | 2 | 471 | 472 | Denominator 2 for Postpartum Depression Follow‐up | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
||||
| PDS‐E | 2 | 473 | 474 | Numerator 2 for Postpartum Depression 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 |
||||
| CRE | 1 | 475 | 475 | Denominator for Cardiac Rehabilitation Initiation 18‐64 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| CRE | 1 | 476 | 476 | Numerator Initiation: 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 | 477 | 477 | Denominator for Cardiac Rehabilitation Initiation 65+ | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| CRE | 1 | 478 | 478 | Numerator Initiation: 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 | 479 | 479 | Denominator for Cardiac Rehabilitation Engagement 1 18‐64 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| CRE | 1 | 480 | 480 | Numerator Engagement 1: 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 | 481 | 481 | Denominator for Cardiac Rehabilitation Engagement 1 65+ | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| CRE | 1 | 482 | 482 | Numerator Engagement 1: 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 | 483 | 483 | Denominator for Cardiac Rehabilitation Engagement 2 18‐64 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| CRE | 1 | 484 | 484 | Numerator Engagement 2: 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 | 485 | 485 | Denominator for Cardiac Rehabilitation Engagement 2 65+ | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| CRE | 1 | 486 | 486 | Numerator Engagement 2: 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 | 487 | 487 | Denominator for Cardiac Rehabilitation Achievement 18‐64 | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| CRE | 1 | 488 | 488 | Numerator Achievement: 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 | 489 | 489 | Denominator for Cardiac Rehabilitation Achievement 65+ | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| CRE | 1 | 490 | 490 | Numerator Achievement: 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 |
||||
| DEV‐N | 1 | 491 | 491 | Moved to group with appropriate denominatorsr | Blank | ||||
| DEV‐N | 1 | 492 | 492 | Moved to group with appropriate denominatorsr | Blank | ||||
| DEV‐N | 1 | 493 | 493 | Moved to group with appropriate denominatorsr | Blank | ||||
| DEV‐N | 1 | 494 | 494 | Moved to group with appropriate denominatorsr | Blank | ||||
| DEV‐N | 1 | 495 | 495 | Moved to group with appropriate denominatorsr | Blank | ||||
| BPD | 1 | 496 | 496 | Denominator for Blood Pressure Control for Patients with Diabetes | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| BPD | 1 | 497 | 497 | Numerator for Blood Pressure Control for Patients with Diabetes | 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 |
||||
| HBD | 1 | 498 | 498 | Denominator for Hemoglobin A1c Control for Patients with Diabetes | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| HBD | 1 | 499 | 499 | Numerator for HbA1c Control <8% | 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 |
||||
| HBD | 1 | 500 | 500 | Numerator for HbA1c Poor Control >9% | 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 |
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| EED | 1 | 501 | 501 | Denominator for Eye Exam for Patients with Diabetes | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| EED | 1 | 502 | 502 | Numerator for Eye Exam for Patients with Diabetes | 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 | 1 | 503 | 503 | 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 | 1 | 504 | 504 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of AOD 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 | 1 | 505 | 505 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of AOD 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 | 1 | 506 | 506 | 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 | 1 | 507 | 507 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of AOD 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 | 1 | 508 | 508 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagement of AOD 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 | 1 | 509 | 509 | Denominator for Initiation and Engagement of Substance Use Disorder Treatment (IET): 65+ other substance use disoder | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
||||
| IET | 1 | 510 | 510 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Initiation of Other substance use disorder, 65+ other substance use disoder | 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 | 1 | 511 | 511 | Numerator for Initiation and Engagement of Substance Use Disorder Treatment (IET): Engagment of other substance use disorder 65+ other substance use disoder | 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 | 1 | 512 | 512 | Denominator for Antibiotic Utilization for Respiratory Conditions 3m ‐17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| AXR | 1 | 513 | 513 | Numerator for Antibiotic Utilization for Respiratory Conditions 3m‐17years | 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 |
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| AXR | 1 | 514 | 514 | Denominator for Antibiotic Utilization for Respiratory Conditions 18‐64years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| AXR | 1 | 515 | 515 | Numerator for Antibiotic Utilization for Respiratory Conditions 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 |
||||
| AXR | 1 | 516 | 516 | Denominator for Antibiotic Utilization for Respiratory Conditions 65+ | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| AXR | 1 | 517 | 517 | Numerator for Antibiotic Utilization for Respiratory Conditions 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 |
||||
| ADD‐E | 1 | 518 | 518 | 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 | 519 | 519 | 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 | 520 | 520 | 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 | 521 | 521 | 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 |
||||
| PND‐E | 1 | 522 | 522 | Denominator for Prenatal Depression Screening and Follow‐Up‐ Electronic: Demoninator 1 Initial Popuation | Enter: The number of times this member is in denominator '0' if the member is not in the denominator |
||||
| PND‐E | 1 | 523 | 523 | Numerator for Prenatal Depression Screening and Follow‐Up‐ Electronic: 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 | 1 | 524 | 524 | Denominator for Prenatal Depression Screening and Follow Up Electronic: 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 | 1 | 525 | 525 | Numerator for Prenatal Depression Screening and Follow‐Up‐ Electronic: 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 |
||||
| General Info | 1 | 526 | 526 | Race | Enter the member's race: 1=White 2=Black or African American 3=American Indian/Alaskan Native 4=Asian 5=Native Hawaiian/Pacific Islander 6=SomeOtherRace 7=Two or more races 8=AskedButNoAnswer 9=Unknown | ||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| General Info | 1 | 527 | 527 | Ethnicity | Enter the Member's ethnicity: 1=Hispanic or Latino 2=Non‐Hispanic or Latino 9=Unknown 0=Asked but not answered | ||||
| General Info | 3 | 528 | 530 | Indirect Race Estimate | Enter the indirectly estimated probability of the member's race being White as a percentage of 100 | ||||
| General Info | 3 | 531 | 533 | Indirect Race Estimate | Enter the indirectly estimated probability of the member's race being Black as a percentage of 100 | ||||
| General Info | 3 | 534 | 536 | Indirect Race Estimate | Enter the indirectly estimated probability of the member's race being Asian as a percentage of 100 | ||||
| General Info | 3 | 537 | 539 | Indirect Race Estimate | Enter the indirectly estimated probability of the member's race being American Indian/Alaskan Native as a percentage of 100 | ||||
| General Info | 3 | 540 | 542 | Indirect Race Estimate | Enter the indirectly estimated probability of the member's race being Other as a percentage of 100 | ||||
| General Info | 3 | 543 | 545 | Indirect Race Estimate | Enter the indirectly estimated probability of the member's race being Native Hawaiian/Pacific Islander as a percentage of 100 | ||||
| General Info | 3 | 546 | 548 | Indirect Race Estimate | Enter the indirectly estimated probability of the member's race being Some other Race as a percentage of 100 | ||||
| General Info | 3 | 549 | 551 | Indirect Race Estimate | Enter the indirectly estimated probability of the member's race being Two or other other races as a percentage of 100 | ||||
| General Info | 3 | 552 | 554 | Indirect Race Estimate | Enter the indirectly estimated probability of the member's race being Uknown as a percentage of 100 | ||||
| General Info | 3 | 555 | 557 | Indirect Ethnicity Estimate ‐Hispanic or Latino | Enter the indirectly estimated probability of the member's ethnicity being Hispanic or Latino as a percentage of 100 | ||||
| General Info | 3 | 558 | 560 | Indirect Ethnicity Estimate ‐ Not Hispanic or Latino | Enter the indirectly estimated probability of the member's ethnicity being not Hispanic or Latino as a percentage of 100 | ||||
| General Info | 3 | 561 | 563 | Indirect Ethnicity Estimate ‐ Ethnicity Unknown | Enter the indirectly estimated probability of the member's ethnicity being not Unknown as a percentage of 100 | ||||
| COL | 1 | 564 | 564 | Denominator for Colorectal Cancer Screening (COL): 46‐49 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| COL | 1 | 565 | 565 | Numerator for Colorectal Cancer Screening (COL): 46‐49 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 | 1 | 566 | 566 | Denominator for Colorectal Cancer Screening (COL): 50‐75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| COL | 1 | 567 | 567 | Numerator for Colorectal Cancer Screening (COL): 50‐75 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 |
||||
| COL‐E | 1 | 568 | 568 | Denominator for Colorectal Cancer Screening (COL‐E): 46‐49 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| COL‐E | 1 | 569 | 569 | Numerator for Colorectal Cancer Screening (COL‐E): 46‐49 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 | 570 | 570 | Denominator for Colorectal Cancer Screening (COL‐E): 50‐75 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| COL‐E | 1 | 571 | 571 | Numerator for Colorectal Cancer Screening (COL‐E): 50‐75 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 |
||||
| MEASURE COLUMN COLUMN COLUMN FIELD SPECIFICATION LENGTH START END | |||||||||
| CVS | 1 | 572 | 572 | Denominator for COVID‐19 Vaccination Status (CVS): Primary Series 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 | 573 | 573 | Numerator for COVID‐19 Vaccination Status (CVS): Primary Series 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 | 574 | 574 | Denominator for COVID‐19 Vaccination Status: Primary Series 5‐ 11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
||||
| CVS | 1 | 575 | 575 | Numerator for COVID‐19 Vaccination Status: Primary Series 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 | 576 | 576 | Denominator for COVID‐19 Vaccination Status: Primary Series 12‐ 17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| CVS | 1 | 577 | 577 | Numerator for COVID‐19 Vaccination Status: Primary Series 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 |
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| CVS | 1 | 578 | 578 | Denominator for COVID‐19 Vaccination Status: Primary Series 18‐ 64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| CVS | 1 | 579 | 579 | Numerator for COVID‐19 Vaccination Status: Primary Series 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 |
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| CVS | 1 | 580 | 580 | Denominator for COVID‐19 Vaccination Status: Booster 5‐11 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| CVS | 1 | 581 | 581 | Numerator for COVID‐19 Vaccination Status: Booster 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 |
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| CVS | 1 | 582 | 582 | Denominator for COVID‐19 Vaccination Status: Booster 12‐17 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| CVS | 1 | 583 | 583 | Numerator for COVID‐19 Vaccination Status: Booster 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 |
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| CVS | 1 | 584 | 584 | Denominator for COVID‐19 Vaccination Status: Booster 18‐ 64 years | Enter: '1' if this member is in the denominator '0' if this member is not in the denominator |
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| CVS | 1 | 585 | 585 | Numerator for COVID‐19 Vaccination Status: Booster 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 |
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| LBP | 1 | 586 | 586 | 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 |
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| LBP | 1 | 587 | 587 | 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 |
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| LBP | 1 | 588 | 588 | 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 |
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| LBP | 1 | 589 | 589 | 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 |
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| DEV‐N | 1 | 590 | 590 | Denominator for Development Screening 1 : 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 |
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| DEV‐N | 1 | 591 | 591 | Numerator: 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 |
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| DEV‐N | 1 | 592 | 592 | Denominator for Development Screening 2: 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 |
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| DEV‐N | 1 | 593 | 593 | Numerator: 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 |
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| DEV‐N | 1 | 594 | 594 | Denominator for Development Screening 3: 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 |
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| DEV‐N | 1 | 595 | 595 | Numerator: 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 |
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NYS MY2022 Patient-Level Detail File Change Log
Revision date: October 25, 2022
MEDICAID
| Version | Date | Data Element | Change Summary |
|---|---|---|---|
| Specification Release MY2022 | 11/9/2021 | Multiple | Initial MY2022 update per HEDIS 2022 specifications. |
| Clarification #2 | 12/21/2021 | Multiple | There were multiple places where the column start did not begin in the correct location, creating duplicate column figures. This has been corrected. |
| Clarification #2 | 12/21/2021 | General Info | Added Race and Ethnicity Column Start 324‐361. |
| Clarification #2 | 12/21/2021 | IET | Clarfied that the IET age stratification is columns 306‐ 316 is 18‐84 and not 18+. |
| Clarification #4 | 6/16/2022 | COL | Removed colorectal from 380‐381 to group the new age stratifications together. |
| Clarification #4 | 6/16/2022 | COL‐E | Removed colorectal from 442‐443 to group the new age stratifications together. |
| Clarification #4 | 6/16/2022 | COL | Added new colorectal age stratifications to 362‐369. |
| Clarification #4 | 6/16/2022 | COL‐E | Added new colorectal age stratifications to 370‐377. |
| Clarification #4 | 6/16/2022 | CVS | Added the new COVID‐19 Imunization Status Measure to 378‐405. |
| Clarification #6 | 9/1/2022 | Multiple | Beginning in column 564, the new measures, COL, COL‐ E, and CVS had two spaces for data entry. This has been corrected to 1 space. This impacts 564‐585. |
| Clarification #6 | 9/1/2022 | Multiple | After column 502 (EED) the IET column started at 301. This has been corrected and impacts columns 503‐585. |
| Clarification #7 | 10/19/2022 | PND‐E | Allows for the member to appear in the measure multiple times. |
| Clarification #7 | 10/19/2022 | LBP | Removed the measure from 269‐270. Combined both age stratifications and located them in 586‐589. |
| Clarification #7 | 10/19/2022 | DEV‐N | Removed the measure from 491‐495 to allow for grouping with all appropriate denominators. Adding the full numerator and denominator to 590‐595. |
| Clarification #7 | 10/19/2022 | HBD | Fixed the acronym from HBP (=typo) to HBD. Specified that the Numerator 2 is for HbA1c Poor Control >9%. |
| Clarification #7 | 10/19/2022 | IET | Changed the numerator and denominator language to reflect the episodic language. |
