{"#title":"Pharmacy Service Authorization Timely Determination Rate","#attached":{"library":["mqis\/reports"],"drupalSettings":{"mqis":{"measures":{"44334":{"xcomps":[],"ycomps":[],"complegend":[],"compdata":{"Contract Requirement":[{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"Medicaid contract section 4.2.4.9","year":"2025","year_type":"SFY","measure_name":"Pharmacy Service Authorization Timely Determination Rate"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2022","year_type":"SFY","measure_name":"Pharmacy Service Authorization Timely Determination Rate"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2022","year_type":"SFY","measure_name":"Pharmacy Service Authorization Timely Determination Rate"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2022","year_type":"SFY","measure_name":"Pharmacy Service Authorization Timely Determination Rate"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2021","year_type":"SFY","measure_name":"Pharmacy Service Authorization Timely Determination Rate"}]},"ymax":115,"comp_table":"<table class=\"table table-striped td-borders responsive-enabled\" data-striping=\"1\">\n      <caption>Pharmacy Service Authorization Timely Determination Rate - Comparators <span class=\"normal\">(<a href=\"\/mqis\/reports\/csv\/comp117594\/1748492056\">Export<\/a>)<\/span><\/caption>\n  \n  \n      <thead>\n      <tr>\n                  <th class=\"hidden-column is-active\" aria-sort=\"ascending\"><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=desc&amp;order=Original%20Order\" title=\"sort by Original Order\" rel=\"nofollow\">Original Order<span class=\"tablesort tablesort--desc\">\n  <span class=\"visually-hidden\">\n    Sort descending\n      <\/span>\n<\/span>\n<\/a><\/th>\n                  <th class=\"hidden-column\"><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Measure%20ID\" title=\"sort by Measure ID\" rel=\"nofollow\">Measure ID<\/a><\/th>\n                  <th><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Measure%20Name\" title=\"sort by Measure Name\" rel=\"nofollow\">Measure Name<\/a><\/th>\n                  <th><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Comparator%20Name\" title=\"sort by Comparator Name\" rel=\"nofollow\">Comparator Name<\/a><\/th>\n                  <th><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Comparator%20Type\" title=\"sort by Comparator Type\" rel=\"nofollow\">Comparator Type<\/a><\/th>\n                  <th class=\"hidden-column\"><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Year\" title=\"sort by Year\" rel=\"nofollow\">Year<\/a><\/th>\n                  <th><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Value\" title=\"sort by Value\" rel=\"nofollow\">Value<\/a><\/th>\n              <\/tr>\n    <\/thead>\n  \n      <tbody>\n              <tr>\n                      <td field=\"original_order\" class=\"hidden-column\">0<\/td>\n                      <td field=\"measure_identifier\" class=\"hidden-column\">SERVICEAUTH.04<\/td>\n                      <td field=\"measure_name\" class=\"alignleft\">Pharmacy Service Authorization Timely Determination Rate<\/td>\n                      <td field=\"name\" class=\"alignleft\">Contract Requirement SFY 2025<\/td>\n                      <td field=\"type\">Contract Requirement<\/td>\n                      <td field=\"comparator_year\" class=\"hidden-column\">2025<\/td>\n                      <td field=\"rate_comparator_value\">100.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td field=\"original_order\" class=\"hidden-column\">1<\/td>\n                      <td field=\"measure_identifier\" class=\"hidden-column\">SERVICEAUTH.04<\/td>\n                      <td field=\"measure_name\" class=\"alignleft\">Pharmacy Service Authorization Timely Determination Rate<\/td>\n                      <td field=\"name\" class=\"alignleft\">Contract Requirement SFY 2022<\/td>\n                      <td field=\"type\">Contract Requirement<\/td>\n                      <td field=\"comparator_year\" class=\"hidden-column\">2022<\/td>\n                      <td field=\"rate_comparator_value\">98.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td field=\"original_order\" class=\"hidden-column\">2<\/td>\n                      <td field=\"measure_identifier\" class=\"hidden-column\">SERVICEAUTH.04<\/td>\n                      <td field=\"measure_name\" class=\"alignleft\">Pharmacy Service Authorization Timely Determination Rate<\/td>\n                      <td field=\"name\" class=\"alignleft\">Contract Requirement SFY 2021<\/td>\n                      <td field=\"type\">Contract Requirement<\/td>\n                      <td field=\"comparator_year\" class=\"hidden-column\">2021<\/td>\n                      <td field=\"rate_comparator_value\">98.0<\/td>\n                  <\/tr>\n          <\/tbody>\n    <\/table>\n","xseries":{"2021-03":"Qtr1 2021","2021-06":"Qtr2 2021","2021-09":"Qtr3 2021","2021-12":"Qtr4 2021","2022-03":"Qtr1 2022","2022-06":"Qtr2 2022","2022-09":"Qtr3 2022","2022-12":"Qtr4 2022","2023-03":"Qtr1 2023","2023-06":"Qtr2 2023","2023-09":"Qtr3 2023","2023-12":"Qtr4 2023","2024-03":"Qtr1 2024","2024-06":"Qtr2 2024","2024-09":"Qtr3 2024","2024-12":"Qtr4 2024"},"yseries":{"Pharmacy Service Authorization Timely Determination Rate":{"2021-03":"99.5","2021-06":"99.3","2021-09":"99.4","2021-12":"99.3","2022-03":"99.7","2022-06":"99.8","2022-09":"99.9","2022-12":"99.9","2023-03":"100.0","2023-06":"100.0","2023-09":"100.0","2023-12":"99.9","2024-03":"100.0","2024-06":"100.0","2024-09":"99.9","2024-12":"100.0"}},"trendlegend":{"Pharmacy Service Authorization Timely Determination Rate":"Total (All Subgroups)"},"numerators":{"Pharmacy Service Authorization Timely Determination Rate":[10704,9272,8841,10050,14205,12005,11869,12558,17021,13248,10266,10036,11935,12376,11277,11499]},"denominators":{"Pharmacy Service Authorization Timely Determination Rate":[10756,9339,8892,10124,14241,12031,11877,12568,17025,13250,10267,10051,11936,12380,11283,11501]},"timeperiods":{"t_2021-01-01_2021-03-31":{"start":"1609477200","end":"1617163200"},"t_2021-04-01_2021-06-30":{"start":"1617249600","end":"1625025600"},"t_2021-07-01_2021-09-30":{"start":"1625112000","end":"1632974400"},"t_2021-10-01_2021-12-31":{"start":"1633060800","end":"1640926800"},"t_2022-01-01_2022-03-31":{"start":"1641013200","end":"1648699200"},"t_2022-04-01_2022-06-30":{"start":"1648785600","end":"1656561600"},"t_2022-07-01_2022-09-30":{"start":"1656648000","end":"1664510400"},"t_2022-10-01_2022-12-31":{"start":"1664596800","end":"1672462800"},"t_2023-01-01_2023-03-31":{"start":"1672549200","end":"1680235200"},"t_2023-04-01_2023-06-30":{"start":"1680321600","end":"1688097600"},"t_2023-07-01_2023-09-30":{"start":"1688184000","end":"1696046400"},"t_2023-10-01_2023-12-31":{"start":"1696132800","end":"1703998800"},"t_2024-01-01_2024-03-31":{"start":"1704085200","end":"1711857600"},"t_2024-04-01_2024-06-30":{"start":"1711944000","end":"1719720000"},"t_2024-07-01_2024-09-30":{"start":"1719806400","end":"1727668800"},"t_2024-10-01_2024-12-31":{"start":"1727755200","end":"1735621200"}},"data_elements":[{"data_element_id":"253873","identifier":"SERVICEAUTH.04_NUM","measure_id":"117594","type":"1","tech_definition":"<p>Count of <strong>Pharmacy<\/strong> service authorization requests received during the measurement period where the MCO notified the provider via telephone or other telecommunication device within <strong>24 hours<\/strong> of receipt of the request. Include those requests received during the measurement period and notified within 24 hours of receipt after the end of the measurement period.<\/p>","class":"1","uploader_user_id":"37","last_modified":"1709566087","spec_id":"764","data_element_class_name":"Numerator"},{"data_element_id":"253874","identifier":"SERVICEAUTH.04_DEN","measure_id":"117594","type":"1","tech_definition":"<p>Count of <strong>Pharmacy<\/strong> service authorization requests made during the measurement period.<\/p>\r\n\r\n<ul>\r\n\t<li>This measure is specific to Pharmacy service authorization billing, so only include those billed at Pharmacy Point of Service (POS).<\/li>\r\n<\/ul>","class":"2","uploader_user_id":"37","last_modified":"1709565715","spec_id":"764","data_element_class_name":"Denominator"},{"data_element_id":"253875","identifier":"SERVICEAUTH.04_RATE","measure_id":"117594","type":"1","tech_definition":"<p><a href=\"http:\/\/mqis.sr.unh.edu\/mqis\/measure-details\/1934\/rate-wizard\">Numerator\/Denominator*100<\/a><br \/>\r\n(percent rounded to 1 decimal place)<\/p>","class":"3","uploader_user_id":"144","last_modified":"1436454848","spec_id":"764","data_element_class_name":"Rate"}],"data_table":"<table class=\"table table-striped td-borders responsive-enabled\" data-striping=\"1\">\n      <caption>Pharmacy Service Authorization Timely Determination Rate <span class=\"normal\">(<a href=\"\/mqis\/reports\/csv\/data117594\/1748492056\">Export<\/a>)<\/span><\/caption>\n  \n  \n      <thead>\n      <tr>\n                  <th class=\"date-range-column\">Time Period<\/th>\n                  <th>Measure Name<\/th>\n                  <th>Measure Numerator<\/th>\n                  <th>Measure Denominator<\/th>\n                  <th>Measure Rate<\/th>\n                  <th>Confidence Interval<\/th>\n              <\/tr>\n    <\/thead>\n  \n      <tbody>\n              <tr>\n                      <td>2021-01-01 - 2021-03-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">10,704<\/td>\n                      <td class=\"alignright\">10,756<\/td>\n                      <td class=\"alignright\">99.5%<\/td>\n                      <td>99.4 - 99.6<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2021-04-01 - 2021-06-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">9,272<\/td>\n                      <td class=\"alignright\">9,339<\/td>\n                      <td class=\"alignright\">99.3%<\/td>\n                      <td>99.1 - 99.5<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2021-07-01 - 2021-09-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">8,841<\/td>\n                      <td class=\"alignright\">8,892<\/td>\n                      <td class=\"alignright\">99.4%<\/td>\n                      <td>99.2 - 99.6<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2021-10-01 - 2021-12-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">10,050<\/td>\n                      <td class=\"alignright\">10,124<\/td>\n                      <td class=\"alignright\">99.3%<\/td>\n                      <td>99.1 - 99.5<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2022-01-01 - 2022-03-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">14,205<\/td>\n                      <td class=\"alignright\">14,241<\/td>\n                      <td class=\"alignright\">99.7%<\/td>\n                      <td>99.6 - 99.8<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2022-04-01 - 2022-06-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">12,005<\/td>\n                      <td class=\"alignright\">12,031<\/td>\n                      <td class=\"alignright\">99.8%<\/td>\n                      <td>99.7 - 99.9<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2022-07-01 - 2022-09-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">11,869<\/td>\n                      <td class=\"alignright\">11,877<\/td>\n                      <td class=\"alignright\">99.9%<\/td>\n                      <td>99.8 - 100.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2022-10-01 - 2022-12-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">12,558<\/td>\n                      <td class=\"alignright\">12,568<\/td>\n                      <td class=\"alignright\">99.9%<\/td>\n                      <td>99.8 - 100.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2023-01-01 - 2023-03-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">17,021<\/td>\n                      <td class=\"alignright\">17,025<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2023-04-01 - 2023-06-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">13,248<\/td>\n                      <td class=\"alignright\">13,250<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2023-07-01 - 2023-09-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">10,266<\/td>\n                      <td class=\"alignright\">10,267<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2023-10-01 - 2023-12-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">10,036<\/td>\n                      <td class=\"alignright\">10,051<\/td>\n                      <td class=\"alignright\">99.9%<\/td>\n                      <td>99.8 - 100.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2024-01-01 - 2024-03-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">11,935<\/td>\n                      <td class=\"alignright\">11,936<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2024-04-01 - 2024-06-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">12,376<\/td>\n                      <td class=\"alignright\">12,380<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2024-07-01 - 2024-09-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">11,277<\/td>\n                      <td class=\"alignright\">11,283<\/td>\n                      <td class=\"alignright\">99.9%<\/td>\n                      <td>99.8 - 100.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2024-10-01 - 2024-12-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">11,499<\/td>\n                      <td class=\"alignright\">11,501<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n          <\/tbody>\n    <\/table>\n","suppressed":false,"orgs":{"MCM: AmeriHealth Caritas NH":12,"MCM: NH Healthy Families":1,"MCM: Well Sense":3,"MCM: Meridian":2},"qualifiers":{"Qtr1 2021":[],"Qtr1 2022":[],"Qtr1 2023":[],"Qtr1 2024":[],"Qtr2 2021":[],"Qtr2 2022":[],"Qtr2 2023":[],"Qtr2 2024":[],"Qtr3 2021":[],"Qtr3 2022":[],"Qtr3 2023":[],"Qtr3 2024":[],"Qtr4 2021":[],"Qtr4 2022":[],"Qtr4 2023":[],"Qtr4 2024":[],"":["The aggregated values do not include data for all organizations. Customize this report by organization for details."]},"verifieds":{"2021-03":{"3":false,"12":false,"1":false},"2021-06":{"12":false,"3":false,"1":false},"2021-09":{"12":false,"3":false,"1":false},"2021-12":{"1":false,"12":false,"3":false},"2022-03":{"12":false,"3":true,"1":false},"2022-06":{"3":false,"12":false,"1":false},"2022-09":{"3":false,"1":false,"12":false},"2022-12":{"12":false,"3":false,"1":false},"2023-03":{"1":false,"12":false,"3":true},"2023-06":{"12":false,"1":false,"3":false},"2023-09":{"12":false,"3":false,"1":false},"2023-12":{"12":false,"3":false,"1":false},"2024-03":{"12":false,"3":false,"1":false},"2024-06":{"3":false,"12":false,"1":false},"2024-09":{"12":false,"1":false,"3":false},"2024-12":{"12":false,"1":false,"3":false}},"measure":{"measure_id":"117594","identifier":"SERVICEAUTH.04","name":"Pharmacy Service Authorization Timely Determination Rate","description":"<p>Count and percent of <strong>Pharmacy<\/strong> service authorization determinations made during the measurement period where the MCO notified the provider via telephone or other telecommunication device within <strong>24 hours<\/strong> of receipt of the service authorization request.<\/p>\r\n\r\n<p>&nbsp;<\/p>","tech_definition":"<p>Numerator, denominator and rate are calculated per data element specifications.<\/p>","relevance":"","tech_definition_owner_id":"0","steward_id":"5","data_source":"6","rate_source":"1","rate_formula":"c:1|\/|c:2|*|100","parent_measure_id":"0","uploader_user_id":"37","submission_frequency":"3","reporting_period_min":"1498881600","reporting_period_max":"4102376400","last_modified":"1729626153","spec_id":"764","rate_precision":"1","rate_type":"1","steward_measure_id":"SERVICEAUTH.04","requirement_source":"Exhibit O","optional_exclusions":"<p>None<\/p>","comments":"","subpopulation":"0","summary_of_changes":"<p>Minor changes made to measure descriptions and numerators.<\/p>","eligible_population":"<p>All Medicaid Members enrolled anytime during the measurement period, regardless of continuous enrollment.<\/p>","period_length":"6","submission_due_date_lag":"2","lag_unit":"Months","use_case":"1","short_name":"","retired":null,"period_length_multiplier":"1","submission_frequency_multiplier":"1","acknowledgements":"","retired_reason":"","replaced_by":"","definitions":"","summarize":"0","rate_weighted":"0","frequency_name":"Quarters","period_length_name":"Quarters","data_source_name":"Administrative","rate_type_name":"Percent","yaxis_label":"","machine_name":"pharmacy-service-authorization-timely-determination-rate","show_mean":"0","attr_links":"<a href=\"\/measures-topic-list#health-services-management---standard-medicaid\">Health Services Management - Standard Medicaid<\/a>","period_info":{"name":"Quarter","format":"Y-m","label_format":"M Y","diff_name":"month","diff_format":"m","diff_mult":3,"maxperiods":16}},"aggregated":true,"init":false,"org_abbrevs":{"14":"FFS (CTS)","8":"MPAP","10":"FFS-PAP","1":"NHHF","3":"WS","12":"ACNH","16":"NEDD","4":"MFFS","11":"DHHS","13":"FFS (OC)","2":"Meri"},"ci":{"Pharmacy Service Authorization Timely Determination Rate":[{"lower":"99.4","upper":"99.6"},{"lower":"99.1","upper":"99.5"},{"lower":"99.2","upper":"99.6"},{"lower":"99.1","upper":"99.5"},{"lower":"99.6","upper":"99.8"},{"lower":"99.7","upper":"99.9"},{"lower":"99.8","upper":"100.0"},{"lower":"99.8","upper":"100.0"},null,null,null,{"lower":"99.8","upper":"100.0"},null,null,{"lower":"99.8","upper":"100.0"},null]},"statuses":{"Pharmacy Service Authorization Timely Determination Rate":{"2021-03":{"6":"Published"},"2021-06":{"6":"Published"},"2021-09":{"6":"Published"},"2021-12":{"6":"Published"},"2022-03":{"6":"Published"},"2022-06":{"6":"Published"},"2022-09":{"6":"Published"},"2022-12":{"6":"Published"},"2023-03":{"6":"Published"},"2023-06":{"6":"Published"},"2023-09":{"6":"Published"},"2023-12":{"6":"Published"},"2024-03":{"6":"Published"},"2024-06":{"6":"Published"},"2024-09":{"6":"Published"},"2024-12":{"6":"Published"}}},"comptypes":[],"comppref":[],"compsources":[],"compsuppress":[],"compmeasures":{"2025":[{"id":"117594","identifier":"SERVICEAUTH.04","name":"Pharmacy Service Authorization Timely Determination Rate"},null,null],"2022":[null,{"id":"116337","identifier":"SERVICEAUTH.04","name":"Pharmacy Service Authorization Timely Determination Rate"},null],"2021":[null,null,{"id":"102297","identifier":"SERVICEAUTH.04","name":"Pharmacy Service Authorization Timely Determination Rate"}]},"complines":[{"name":"Contract Requirement SFY 2025","value":"100.0","type":"2","preference":"=","suppress":"0"}]}},"template_options":{"template":"allinfo","trend_graph":true,"trend_type":"line","confidence":true,"comparator_graph":true,"data_tables":true,"submitted_data":true,"comparator_data":true,"data_source":true,"relevance":true,"topics":true,"description":true,"definitions":true,"tech_def":true,"data_elements":true,"eligible":true,"summary":true,"comparator_details":true},"filename":"Pharmacy_Service_Authorization_Timely_Determination_Rate","fixed_denom":2,"comp_goal":3,"generated":"May 29 2025 at 00:14","suppression_note":"Data has been suppressed due to small sample size."}}},"#theme":"mqis_measure_report_enhanced_template","#measures":{"44334":{"xcomps":[],"ycomps":[],"complegend":[],"compdata":{"Contract Requirement":[{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"Medicaid contract section 4.2.4.9","year":"2025","year_type":"SFY","measure_name":"Pharmacy Service Authorization Timely Determination Rate"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2022","year_type":"SFY","measure_name":"Pharmacy Service Authorization Timely Determination Rate"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2022","year_type":"SFY","measure_name":"Pharmacy Service Authorization Timely Determination Rate"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2022","year_type":"SFY","measure_name":"Pharmacy Service Authorization Timely Determination Rate"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2021","year_type":"SFY","measure_name":"Pharmacy Service Authorization Timely Determination Rate"}]},"ymax":115,"comp_table":"<table class=\"table table-striped td-borders responsive-enabled\" data-striping=\"1\">\n      <caption>Pharmacy Service Authorization Timely Determination Rate - Comparators <span class=\"normal\">(<a href=\"\/mqis\/reports\/csv\/comp117594\/1748492056\">Export<\/a>)<\/span><\/caption>\n  \n  \n      <thead>\n      <tr>\n                  <th class=\"hidden-column is-active\" aria-sort=\"ascending\"><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=desc&amp;order=Original%20Order\" title=\"sort by Original Order\" rel=\"nofollow\">Original Order<span class=\"tablesort tablesort--desc\">\n  <span class=\"visually-hidden\">\n    Sort descending\n      <\/span>\n<\/span>\n<\/a><\/th>\n                  <th class=\"hidden-column\"><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Measure%20ID\" title=\"sort by Measure ID\" rel=\"nofollow\">Measure ID<\/a><\/th>\n                  <th><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Measure%20Name\" title=\"sort by Measure Name\" rel=\"nofollow\">Measure Name<\/a><\/th>\n                  <th><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Comparator%20Name\" title=\"sort by Comparator Name\" rel=\"nofollow\">Comparator Name<\/a><\/th>\n                  <th><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Comparator%20Type\" title=\"sort by Comparator Type\" rel=\"nofollow\">Comparator Type<\/a><\/th>\n                  <th class=\"hidden-column\"><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Year\" title=\"sort by Year\" rel=\"nofollow\">Year<\/a><\/th>\n                  <th><a href=\"\/mqis\/reports\/measure\/44334\/ajax?sort=asc&amp;order=Value\" title=\"sort by Value\" rel=\"nofollow\">Value<\/a><\/th>\n              <\/tr>\n    <\/thead>\n  \n      <tbody>\n              <tr>\n                      <td field=\"original_order\" class=\"hidden-column\">0<\/td>\n                      <td field=\"measure_identifier\" class=\"hidden-column\">SERVICEAUTH.04<\/td>\n                      <td field=\"measure_name\" class=\"alignleft\">Pharmacy Service Authorization Timely Determination Rate<\/td>\n                      <td field=\"name\" class=\"alignleft\">Contract Requirement SFY 2025<\/td>\n                      <td field=\"type\">Contract Requirement<\/td>\n                      <td field=\"comparator_year\" class=\"hidden-column\">2025<\/td>\n                      <td field=\"rate_comparator_value\">100.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td field=\"original_order\" class=\"hidden-column\">1<\/td>\n                      <td field=\"measure_identifier\" class=\"hidden-column\">SERVICEAUTH.04<\/td>\n                      <td field=\"measure_name\" class=\"alignleft\">Pharmacy Service Authorization Timely Determination Rate<\/td>\n                      <td field=\"name\" class=\"alignleft\">Contract Requirement SFY 2022<\/td>\n                      <td field=\"type\">Contract Requirement<\/td>\n                      <td field=\"comparator_year\" class=\"hidden-column\">2022<\/td>\n                      <td field=\"rate_comparator_value\">98.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td field=\"original_order\" class=\"hidden-column\">2<\/td>\n                      <td field=\"measure_identifier\" class=\"hidden-column\">SERVICEAUTH.04<\/td>\n                      <td field=\"measure_name\" class=\"alignleft\">Pharmacy Service Authorization Timely Determination Rate<\/td>\n                      <td field=\"name\" class=\"alignleft\">Contract Requirement SFY 2021<\/td>\n                      <td field=\"type\">Contract Requirement<\/td>\n                      <td field=\"comparator_year\" class=\"hidden-column\">2021<\/td>\n                      <td field=\"rate_comparator_value\">98.0<\/td>\n                  <\/tr>\n          <\/tbody>\n    <\/table>\n","xseries":{"2021-03":"Qtr1 2021","2021-06":"Qtr2 2021","2021-09":"Qtr3 2021","2021-12":"Qtr4 2021","2022-03":"Qtr1 2022","2022-06":"Qtr2 2022","2022-09":"Qtr3 2022","2022-12":"Qtr4 2022","2023-03":"Qtr1 2023","2023-06":"Qtr2 2023","2023-09":"Qtr3 2023","2023-12":"Qtr4 2023","2024-03":"Qtr1 2024","2024-06":"Qtr2 2024","2024-09":"Qtr3 2024","2024-12":"Qtr4 2024"},"yseries":{"Pharmacy Service Authorization Timely Determination Rate":{"2021-03":"99.5","2021-06":"99.3","2021-09":"99.4","2021-12":"99.3","2022-03":"99.7","2022-06":"99.8","2022-09":"99.9","2022-12":"99.9","2023-03":"100.0","2023-06":"100.0","2023-09":"100.0","2023-12":"99.9","2024-03":"100.0","2024-06":"100.0","2024-09":"99.9","2024-12":"100.0"}},"trendlegend":{"Pharmacy Service Authorization Timely Determination Rate":"Total (All Subgroups)"},"numerators":{"Pharmacy Service Authorization Timely Determination Rate":[10704,9272,8841,10050,14205,12005,11869,12558,17021,13248,10266,10036,11935,12376,11277,11499]},"denominators":{"Pharmacy Service Authorization Timely Determination Rate":[10756,9339,8892,10124,14241,12031,11877,12568,17025,13250,10267,10051,11936,12380,11283,11501]},"timeperiods":{"t_2021-01-01_2021-03-31":{"start":"1609477200","end":"1617163200"},"t_2021-04-01_2021-06-30":{"start":"1617249600","end":"1625025600"},"t_2021-07-01_2021-09-30":{"start":"1625112000","end":"1632974400"},"t_2021-10-01_2021-12-31":{"start":"1633060800","end":"1640926800"},"t_2022-01-01_2022-03-31":{"start":"1641013200","end":"1648699200"},"t_2022-04-01_2022-06-30":{"start":"1648785600","end":"1656561600"},"t_2022-07-01_2022-09-30":{"start":"1656648000","end":"1664510400"},"t_2022-10-01_2022-12-31":{"start":"1664596800","end":"1672462800"},"t_2023-01-01_2023-03-31":{"start":"1672549200","end":"1680235200"},"t_2023-04-01_2023-06-30":{"start":"1680321600","end":"1688097600"},"t_2023-07-01_2023-09-30":{"start":"1688184000","end":"1696046400"},"t_2023-10-01_2023-12-31":{"start":"1696132800","end":"1703998800"},"t_2024-01-01_2024-03-31":{"start":"1704085200","end":"1711857600"},"t_2024-04-01_2024-06-30":{"start":"1711944000","end":"1719720000"},"t_2024-07-01_2024-09-30":{"start":"1719806400","end":"1727668800"},"t_2024-10-01_2024-12-31":{"start":"1727755200","end":"1735621200"}},"data_elements":[{"data_element_id":"253873","identifier":"SERVICEAUTH.04_NUM","measure_id":"117594","type":"1","tech_definition":"<p>Count of <strong>Pharmacy<\/strong> service authorization requests received during the measurement period where the MCO notified the provider via telephone or other telecommunication device within <strong>24 hours<\/strong> of receipt of the request. Include those requests received during the measurement period and notified within 24 hours of receipt after the end of the measurement period.<\/p>","class":"1","uploader_user_id":"37","last_modified":"1709566087","spec_id":"764","data_element_class_name":"Numerator"},{"data_element_id":"253874","identifier":"SERVICEAUTH.04_DEN","measure_id":"117594","type":"1","tech_definition":"<p>Count of <strong>Pharmacy<\/strong> service authorization requests made during the measurement period.<\/p>\r\n\r\n<ul>\r\n\t<li>This measure is specific to Pharmacy service authorization billing, so only include those billed at Pharmacy Point of Service (POS).<\/li>\r\n<\/ul>","class":"2","uploader_user_id":"37","last_modified":"1709565715","spec_id":"764","data_element_class_name":"Denominator"},{"data_element_id":"253875","identifier":"SERVICEAUTH.04_RATE","measure_id":"117594","type":"1","tech_definition":"<p><a href=\"http:\/\/mqis.sr.unh.edu\/mqis\/measure-details\/1934\/rate-wizard\">Numerator\/Denominator*100<\/a><br \/>\r\n(percent rounded to 1 decimal place)<\/p>","class":"3","uploader_user_id":"144","last_modified":"1436454848","spec_id":"764","data_element_class_name":"Rate"}],"data_table":"<table class=\"table table-striped td-borders responsive-enabled\" data-striping=\"1\">\n      <caption>Pharmacy Service Authorization Timely Determination Rate <span class=\"normal\">(<a href=\"\/mqis\/reports\/csv\/data117594\/1748492056\">Export<\/a>)<\/span><\/caption>\n  \n  \n      <thead>\n      <tr>\n                  <th class=\"date-range-column\">Time Period<\/th>\n                  <th>Measure Name<\/th>\n                  <th>Measure Numerator<\/th>\n                  <th>Measure Denominator<\/th>\n                  <th>Measure Rate<\/th>\n                  <th>Confidence Interval<\/th>\n              <\/tr>\n    <\/thead>\n  \n      <tbody>\n              <tr>\n                      <td>2021-01-01 - 2021-03-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">10,704<\/td>\n                      <td class=\"alignright\">10,756<\/td>\n                      <td class=\"alignright\">99.5%<\/td>\n                      <td>99.4 - 99.6<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2021-04-01 - 2021-06-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">9,272<\/td>\n                      <td class=\"alignright\">9,339<\/td>\n                      <td class=\"alignright\">99.3%<\/td>\n                      <td>99.1 - 99.5<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2021-07-01 - 2021-09-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">8,841<\/td>\n                      <td class=\"alignright\">8,892<\/td>\n                      <td class=\"alignright\">99.4%<\/td>\n                      <td>99.2 - 99.6<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2021-10-01 - 2021-12-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">10,050<\/td>\n                      <td class=\"alignright\">10,124<\/td>\n                      <td class=\"alignright\">99.3%<\/td>\n                      <td>99.1 - 99.5<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2022-01-01 - 2022-03-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">14,205<\/td>\n                      <td class=\"alignright\">14,241<\/td>\n                      <td class=\"alignright\">99.7%<\/td>\n                      <td>99.6 - 99.8<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2022-04-01 - 2022-06-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">12,005<\/td>\n                      <td class=\"alignright\">12,031<\/td>\n                      <td class=\"alignright\">99.8%<\/td>\n                      <td>99.7 - 99.9<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2022-07-01 - 2022-09-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">11,869<\/td>\n                      <td class=\"alignright\">11,877<\/td>\n                      <td class=\"alignright\">99.9%<\/td>\n                      <td>99.8 - 100.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2022-10-01 - 2022-12-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">12,558<\/td>\n                      <td class=\"alignright\">12,568<\/td>\n                      <td class=\"alignright\">99.9%<\/td>\n                      <td>99.8 - 100.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2023-01-01 - 2023-03-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">17,021<\/td>\n                      <td class=\"alignright\">17,025<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2023-04-01 - 2023-06-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">13,248<\/td>\n                      <td class=\"alignright\">13,250<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2023-07-01 - 2023-09-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">10,266<\/td>\n                      <td class=\"alignright\">10,267<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2023-10-01 - 2023-12-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">10,036<\/td>\n                      <td class=\"alignright\">10,051<\/td>\n                      <td class=\"alignright\">99.9%<\/td>\n                      <td>99.8 - 100.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2024-01-01 - 2024-03-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">11,935<\/td>\n                      <td class=\"alignright\">11,936<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2024-04-01 - 2024-06-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">12,376<\/td>\n                      <td class=\"alignright\">12,380<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2024-07-01 - 2024-09-30<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">11,277<\/td>\n                      <td class=\"alignright\">11,283<\/td>\n                      <td class=\"alignright\">99.9%<\/td>\n                      <td>99.8 - 100.0<\/td>\n                  <\/tr>\n              <tr>\n                      <td>2024-10-01 - 2024-12-31<\/td>\n                      <td class=\"alignleft\">Total (All Subgroups)<\/td>\n                      <td class=\"alignright\">11,499<\/td>\n                      <td class=\"alignright\">11,501<\/td>\n                      <td class=\"alignright\">100.0%<\/td>\n                      <td>N\/A<\/td>\n                  <\/tr>\n          <\/tbody>\n    <\/table>\n","suppressed":false,"orgs":{"MCM: AmeriHealth Caritas NH":12,"MCM: NH Healthy Families":1,"MCM: Well Sense":3,"MCM: Meridian":2},"qualifiers":{"Qtr1 2021":[],"Qtr1 2022":[],"Qtr1 2023":[],"Qtr1 2024":[],"Qtr2 2021":[],"Qtr2 2022":[],"Qtr2 2023":[],"Qtr2 2024":[],"Qtr3 2021":[],"Qtr3 2022":[],"Qtr3 2023":[],"Qtr3 2024":[],"Qtr4 2021":[],"Qtr4 2022":[],"Qtr4 2023":[],"Qtr4 2024":[],"":["The aggregated values do not include data for all organizations. Customize this report by organization for details."]},"verifieds":{"2021-03":{"3":false,"12":false,"1":false},"2021-06":{"12":false,"3":false,"1":false},"2021-09":{"12":false,"3":false,"1":false},"2021-12":{"1":false,"12":false,"3":false},"2022-03":{"12":false,"3":true,"1":false},"2022-06":{"3":false,"12":false,"1":false},"2022-09":{"3":false,"1":false,"12":false},"2022-12":{"12":false,"3":false,"1":false},"2023-03":{"1":false,"12":false,"3":true},"2023-06":{"12":false,"1":false,"3":false},"2023-09":{"12":false,"3":false,"1":false},"2023-12":{"12":false,"3":false,"1":false},"2024-03":{"12":false,"3":false,"1":false},"2024-06":{"3":false,"12":false,"1":false},"2024-09":{"12":false,"1":false,"3":false},"2024-12":{"12":false,"1":false,"3":false}},"measure":{"measure_id":"117594","identifier":"SERVICEAUTH.04","name":"Pharmacy Service Authorization Timely Determination Rate","description":"<p>Count and percent of <strong>Pharmacy<\/strong> service authorization determinations made during the measurement period where the MCO notified the provider via telephone or other telecommunication device within <strong>24 hours<\/strong> of receipt of the service authorization request.<\/p>\r\n\r\n<p>&nbsp;<\/p>","tech_definition":"<p>Numerator, denominator and rate are calculated per data element specifications.<\/p>","relevance":"","tech_definition_owner_id":"0","steward_id":"5","data_source":"6","rate_source":"1","rate_formula":"c:1|\/|c:2|*|100","parent_measure_id":"0","uploader_user_id":"37","submission_frequency":"3","reporting_period_min":"1498881600","reporting_period_max":"4102376400","last_modified":"1729626153","spec_id":"764","rate_precision":"1","rate_type":"1","steward_measure_id":"SERVICEAUTH.04","requirement_source":"Exhibit O","optional_exclusions":"<p>None<\/p>","comments":"","subpopulation":"0","summary_of_changes":"<p>Minor changes made to measure descriptions and numerators.<\/p>","eligible_population":"<p>All Medicaid Members enrolled anytime during the measurement period, regardless of continuous enrollment.<\/p>","period_length":"6","submission_due_date_lag":"2","lag_unit":"Months","use_case":"1","short_name":"","retired":null,"period_length_multiplier":"1","submission_frequency_multiplier":"1","acknowledgements":"","retired_reason":"","replaced_by":"","definitions":"","summarize":"0","rate_weighted":"0","frequency_name":"Quarters","period_length_name":"Quarters","data_source_name":"Administrative","rate_type_name":"Percent","yaxis_label":"","machine_name":"pharmacy-service-authorization-timely-determination-rate","show_mean":"0","attr_links":"<a href=\"\/measures-topic-list#health-services-management---standard-medicaid\">Health Services Management - 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Bureau of Program Quality. Report generated on May 29 2025 at 00:14. [http:\/\/medicaidquality.nh.gov]<\/p><p>Disclaimer: While the NH Department of Health and Human Services - Bureau of Program Quality makes every effort to post accurate and reliable information, it does not guarantee or warrant that the information on this website is complete, accurate or up-to-date and assumes no responsibility for the use or application of any posted material.<\/p>","#generated":"May 29 2025 at 00:14","#options_form":{"#attributes":{"measure":["117594"],"data-drupal-selector":"mqis-reports-measure-options-form"},"org_drilldown":{"#type":"checkbox","#title":"Drill down by organization","#default_value":false,"#prefix":"<div 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