Medicaid MY2024 PLD File Specifications

  • Document is also available in Portable Document Format (PDF)
Revision date: July 1, 2024

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#######
GENERAL INFO 8 55 62 Date of birth The birth date must contain 8 digits with month, day, year
Enter:
MMDDYYYY (e.g., September 20, 1983 would be 09201983)
GENERAL INFO 2 63 64 Member Months The member month contribution this member adds according to the Enrollment by Product Line measure. Valid values are between 0 - 12.
GENERAL INFO 1 65 65 Sex Enter:
The sex assigned at birth
'F' member is female
'M' member is male
'O' includes, but is not limited to: missing, refused, and unspecified
No other characters are allowed
GENERAL INFO 2 66 67 Race Enter the member's race:
01=White
02=Black or African American
03=American Indian/Alaskan Native
04=Asian
05=Native Hawaiian/Pacific Islander
06=Some Other Race
07=Two or more races
08=Asked But No Answer
09=Unknown
GENERAL INFO 2 68 69 Source of Race Data Provide the source of Race data:
20 = Health Plan Direct (Direct)
21 = CMS databases (Direct)
22 = State Databases (Direct)
23 = Surname Analysis (Indirect)
24 = Geo-coding Analysis (Indirect)
28 = Unknown – Use this as the race source value when the member's race is "UNK" for Unknown Race.
29 = Other (Direct)
30 = Other (Indirect) - Use when "other" indirect method is used to determine Race.
GENERAL INFO 1 70 70 Ethnicity Enter the Member's ethnicity: 1=Hispanic or Latino 2=Non-Hispanic or Latino 9=Unknown 0=Asked but not answered
GENERAL INFO 2 71 72 Source of Ethnicity Data Provide the source of Ethnicity data:
20 = Health Plan Direct (Direct)
21 = CMS databases (Direct)
22 = State Databases (Direct)
23 = Surname Analysis (Indirect)
24 = Geo-coding Analysis (Indirect)
28 = 28 = Unknown – Use this as the ethnicity source value when the member's ethnicity is "UNK" for Unknown Ethnicity.
29 = Other (Direct)
30 = Other (Indirect) - Use when "other" indirect method is used to determine Ethnicity
GENERAL INFO 2 73 74 Asian American Subgroups If member's race is White, Black or African American, American Indian/Alaskan Native, Native Hawaiian/Pacific Islander, Two Or More Races, Some Other Race, Asked But No Answer, or Unknown then Enter:
00=Not Applicable
If member's race is Asian, then identify the specific subgroup:

01=Chinese
02=Japanese
03=Filipino
04=Korean
05=Vietnamese
06=Asian Indian
07=Laotian
08=Cambodian
09=Bangladeshi
10=Hmong
11=Indonesian
12=Malaysian
13=Pakistani
14=Sri Lankan
15=Taiwanese
16=Nepalese
17=Burmese
18=Thai
19=Two or more subgroups
20=Unknown Asian Subgroup
21=Declined
22=Other Asian Subgroup
GENERAL INFO 1 75 75 Native Hawaiian/Pacific Islander Subgroups If member's race is White, Black or African American, American Indian/Alaskan Native, Asian, Two Or More Races, Some Other Race, Asked But No Answer, or Unknown then Enter:
0=Not Applicable
If member's race is Native Hawaiian/Pacific Islander then identify the specific subgroup:

1=Hawaiian
2=Guamanian/Chamorro
3=Samoan
4=Fijian
5=Tongan
6=Two or more subgroups
7=Unknown Native Hawaiian/Pacific Islander Subgroup
8=Declined
9=Other Native Hawaiian/Pacific Islander Subgroup
GENERAL INFO 3 76 78 Language Spoken Enter the member's spoken language:
001=English
*For all other languages other than English see the Language Value Set on the
Managed Care Information for Health Plans Quality Assurance Reporting Requirements (QARR) 2024 NYS QARR Language Value Setwebpage.

197=Unknown
199=Declined

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

MEDICAID

Version Date Data Element Change Summary
Specification Release MY2024 12/11/2024 Multiple
  • Asian American Subgroups
    Adding a "two or more subgroups" option
  • Native Hawaiian/Pacific Islander Subgroups
    Adding a "two or more subgroups" option
  • Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) has been added to align with HEDIS reporting requirements
  • Continued Engagement in Substance Use Disorder (SUD) Treatment (CET)
    has been added as a new NYS measure.
  • Depression Remission or Response for Adolescents and Adults (DRR-E)
    has been added as a required ECDS measure.
The following Measures have been removed due to retirement by the steward:
  • Follow-Up Care for Children Prescribed ADHD Medication (ADD)*
  • Ambulatory Care (AMB)
  • Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)*
  • Colorectal Cancer Screening (COL)*
  • Inpatient Utilization—General Hospital/Acute Care (IPU)
  • Non-Recommended Cervical Cancer Screening in Adolescent Females (NCS)
  • Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR).
    *Only the COL-E, ADD-E and APM-E measures will be reported.
  • COVID-19 Immunization Status (CVS )
    Specifications and reporting requirements have been updated.
  • Hemoglobin A1c (HbA1c) Control for Patients With Diabetes (HBD) has been replaced by Glycemic Status Assessment for Patients With Diabetes (GSD)
Clarification #1 5/9/2024 Multiple Source of Race Data
  • Valid values have been updated to align with NCQA/HEDIS specifications
    28 = Unknown
    30 = Other (indirect)
Source of Ethnicity Data
  • Valid values have been updated to align with NCQA/HEDIS specifications
    28=Unknown
    30=Other (indirect)
Asian American Subgroups
  • Updated values
    19=Two or more subgroups
    20=Unknown
    21=Declined
    00=Not Asian
Clarification #2 7/2/2024 Multiple Asian American Subgroups
  • Updated description and values:
    If member's race is White, Black or African American, American Indian/Alaskan
    Native, Native Hawaiian/Pacific Islander, Two Or More Races, Some Other Race,
    Asked But No Answer, or Unknown then Enter:
    00= Not applicable
    If member's race is Asian, then identify the specific
    subgroup:
    20=Unknown Asian subgroup
    22=Other Asian subgroup
Native Hawaiian/Pacific Islander Subgroups
  • Updated description and values:
    If member's race is White, Black or African American, American Indian/Alaskan
    Native, Asian, Two Or More Races, Some Other Race, Asked But No Answer, or Unknown then Enter:
    0=Not Applicable
    If member's race is Native Hawaiian/Pacific Islander then identify the specific
    subgroup:
    7=Unknown Native Hawaiian/Pacific Islander Subgroup
    9=Other Native Hawaiian/Pacific Islander Subgroup