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Quality Measures by Topic
Care Management Program
Preventive Care
Acute and Chronic Care
Behavioral Health Care
Children
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Design Your Own Report
Step 1: Select your measure(s).
Filter Measures by One or More Topics
Include uncategorized
Behavioral Health Care
Behavioral Health Care - Adults
Behavioral Health Care - Children
Behavioral Health Care - Older Adults
Behavioral Health Care - Special Needs Population
Beneficiary Demographics - Standard Medicaid
Cardiovascular Health Care - Adults
Care Coordination
Care Coordination - Children
CMS Medicaid Adult Core Set - NH Health Protection Program
CMS Medicaid Adult Core Set - Standard Medicaid
CMS Medicaid Child Core Set
Diabetes Health Care - Adults
Grievances and Appeals
Health Services Management - Standard Medicaid
HEDIS Acute and Chronic Care Measures
HEDIS Behavioral Health Care Measures
HEDIS Preventive Care Measures
Hospital Inpatient and Outpatient Care
Hospital Inpatient and Outpatient Care - Adults
Hospital Inpatient and Outpatient Care - Children
Hospital Inpatient and Outpatient Care - NH Health Protection Program Members
Hospital Inpatient and Outpatient Care - Older Adults
Hospital Inpatient and Outpatient Care - Special Needs Population
Immunizations - Children
Long Term Community Based Care
Long Term Community Based Care - Adults
Long Term Community Based Care - Children
Member Experience of Care - Adults
Member Experience of Care - Children
Member Services
Network Adequacy
Non-Emergent Medical Transportation (NEMT)
Office and Clinic Care
Office and Clinic Care - Adults
Office and Clinic Care - Children
Office and Clinic Care - NH Health Protection Program Members
Office and Clinic Care - Older Adults
Office and Clinic Care - Special Needs Population
Pharmacy
Pharmacy - Adults
Pharmacy - Children
Pharmacy - Older Adults
Provider Network Management
Provider Services
Respiratory Health Care
Respiratory Health Care - Adults
Respiratory Health Care - Children
Screenings - Adults
Screenings - Children
Substance Use Disorder Care
Substance Use Disorder Care - NH Health Protection Program Members
Well Care - Children
Measures
*
Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)
Adherence to Non-Infused Biologic Medications Used to Treat Rheumatoid Arthritis (PDC-RA)
Adolescent Well-Care Visits (AWC)
Adult BMI Assessment (ABA)
Adult CAHPS®: Aware Can Make a Complaint To Health Plan About Care or Services Received or Decisions Made
Adult CAHPS®: Customer Service Provided Information or Help: Usually or Always
Adult CAHPS®: Customer Service Treated Member with Courtesy and Respect: Usually or Always
Adult CAHPS®: Days to Get Appointment For Check-up or Routine Care
A. Same Day
B. 1 Day
C. 2 to 3 Days
D. 4 to 7 Days
E. 8 to 14 Days
F. 15 to 30 Days
G. More than 30 Days
Adult CAHPS®: Days to Get Appointment When Care Needed Right Away
A. Same Day
B. 1 Day
C. 2 - 3 Days
D. 4 - 7 Days
E. More than 7 Days
Adult CAHPS®: Doctor or Other Health Provider Talked About What Member Thought was Best for Themselves When Discussing Medicine
Adult CAHPS®: Doctor or Other Health Provider Talked With Member About Reasons Member Might Want to Take a Medicine
Adult CAHPS®: Doctor or Other Health Provider Talked with Member About Reasons Member Might Not Want to Take a Medicine
Adult CAHPS®: Doctor or Other Health Provider Talked with Member about Specific Things the Member Could do to Prevent Illness
Adult CAHPS®: Ease In Getting Care, Tests, and Treatment: Usually or Always
Adult CAHPS®: Ease in Getting Special Medical Equipment: Usually or Always
Adult CAHPS®: Ease in Getting Treatment or Counseling: Usually or Always
Adult CAHPS®: Feel Comfortable Speaking To Doctor or Other Health Provider About Personal or Family Problems with Alcohol or Other Drugs
Adult CAHPS®: Flu Vaccinations for Adults Ages 18 - 64 (FVA)
Adult CAHPS®: Getting Appointment to See Specialist as Soon as Needed: Usually or Always
Adult CAHPS®: Getting Needed Care Right Away - Usually or Always
Adult CAHPS®: Getting Needed Care from a Doctor's Office or Clinic During Evenings, Weekends, or Holidays - Usually or Always
Adult CAHPS®: Getting Routine or Check-up Appointments as Soon as They Were Needed: Usually or Always
Adult CAHPS®: Member Got Care from a Doctor or Other Health Provider Besides Their Personal Doctor
Adult CAHPS®: Member Rating of Overall Health - Very Good or Excellent
Adult CAHPS®: Member Rating of Overall Mental or Emotional Health - Very Good or Excellent
Adult CAHPS®: Members Reporting a Condition or Problem Lasting at Least 3 months for which They Received Health Care 3 or More Times in the Last 6 Months.
Adult CAHPS®: Number of Specialists Seen
A. None
B. One
C. Two
D. Three
E. Four
F. Five or More Specialists
Adult CAHPS®: Number of Visits to Personal Doctor
A. None
B. One
C. Two
D. Three
E. Four
F. Five to Nine
G. Ten or More
Adult CAHPS®: Percent of Adults Reporting Now Needing or Taking Medicine Prescribed by a Doctor
Adult CAHPS®: Percent of Adults Reporting a Condition or Problem Lasting at Least 3 months for which They Need or Take Medicine Prescribed by a Doctor.
Adult CAHPS®: Personal Doctor Asked About Feeling Sad, Empty, or Depressed
Adult CAHPS®: Personal Doctor Explained Things in a Way That Was Easy to Understand: Usually or Always
Adult CAHPS®: Personal Doctor Listened Carefully: Usually or Always
Adult CAHPS®: Personal Doctor Showed Respect: Usually or Always
Adult CAHPS®: Personal Doctor Spent Enough time with Member: Usually or Always
Adult CAHPS®: Personal Doctor Up-to-Date about Care from other Doctors or Health Providers: Usually or Always
Adult CAHPS®: Rating of Health Care - 8, 9 or 10
Adult CAHPS®: Rating of Health Plan: 8, 9, or 10
Adult CAHPS®: Rating of Personal Doctor - 8, 9 or 10
Adult CAHPS®: Rating of Specialist Seen Most Often - 8, 9 or 10
Adult CAHPS®: Written Materials or Internet Provide Information Needed about How Health Plan Works: Usually or Always
Adult CMHP Assertive Community Treatment (ACT) Service Utilization
Adults' Access to Preventive/Ambulatory Health Services (AAP)
A: Age 20-44 Years
B: Age 45-64 Years
C. Age 65+ Years
Ambulatory Care (AMB) - Total Medicaid Emergency Department Visits
A. Age <1
B. Age 1-9 Years
C. Age 10-19 Years
D. Age 20-44 Years
E. Age 45-64 Years
F. Age 65-74 Years
G. Age 75-84 Years
H. Age 85+ Years
I. Age Unknown
Ambulatory Care (AMB) - Total Medicaid Outpatient Visits
A. Age <1
B. Age 1-9 Years
C. Age 10-19 Years
D. Age 20-44 Years
E. Age 45-64 Years
F. Age 65-74 Years
G. Age 75-84 Years
H. Age 85+ Years
I. Age Unknown
Annual Monitoring for Members on Digoxin (MPM, CMS Adult Core Set)
A. Age 18-64 Years
Antidepressant Medication Management (AMM) by Subpopulation-Effective Acute Phase Treatment
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Antidepressant Medication Management (AMM) by Subpopulation-Effective Continuation Phase Treatment
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Antidepressant Medication Management (AMM): Effective Acute Phase Treatment
Antidepressant Medication Management (AMM): Effective Continuation Phase Treatment
Appropriate Testing for Children With Pharyngitis (CWP)
Appropriate Testing for Pharyngitis (CWP)
A. Age 3-17 Years
B. Age 18-64 Years
C. Age 65+ Years
Appropriate Treatment for Upper Respiratory Infection (URI)
A. Age 3 Months-17 Years
B. Age 18-64 Years
C. Age 65 and Older
Asthma Medication Ratio (AMR)
A. Age 5 to 11 Years
B. Age 12 to 18 Years
C. Age 19 to 50 Years
D. Age 51 to 64 Years
Asthma in Younger Adults Admission Rate per 100,000 Enrollee Months (PQI15, CMS Adult Core Set)
Average Pharmacy Claim Processing Time
Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB)
A. Age 3 Months - 17 Years
B. Age 18 - 64 Years
C. Age 65 and Older
Best Effort to Have New Member Complete MCO's Health Risk Assessment Screening
A. Completed
D. Not Completed - Member Did Not Refuse and MCO Did Not Make at Least 3 Attempts
Best Effort to Have New Member Complete MCO's Health Risk Assessment Screening: B: Not Completed - Member Refused
Best Effort to Have New Member Complete MCO's Health Risk Assessment Screening: C: Not Completed - Member Did Not Refuse and MCO Made at Least 3 Attempts
Breast Cancer Screening (BCS)
Breast Cancer Screening (BCS) by Subpopulation
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC)
Care Management Comprehensive Assessment Attempts Completed within 30 Days
A: Completed
D: Not Complete - Member Did Not Refuse & Attempts Not Completed
Care Management Comprehensive Assessment Attempts Completed within 30 Days: B: Not Complete - Member Refused
Care Management Comprehensive Assessment Attempts Completed within 30 Days: C: Not Complete - Member Did Not Refuse & Attempts Completed
Care Management Comprehensive Assessment Results within 14 Calendar Days
Care Management Comprehensive Assessments Completed by Subcontractor Entity
Care Management Outreach to High-Risk/High-Need Members
A: Enrolled
B: Not Enrolled - Member Refused
Care Management Outreach to High-Risk/High-Need Members: C: Not Enrolled - Member Did Not Refuse & Attempts Completed
Care Management Outreach to High-Risk/High-Need Members: D: Not Enrolled- Member Did Not Refuse & Attempts Not Completed
Cervical Cancer Screening (CCS)
Child CAHPS®: Care Coordination for More than One Kind of Health Care Provider or Service
Child CAHPS®: Caregiver Aware of Health Plan Complaint Process
Child CAHPS®: Child Able to Talk with Doctors about His or Her Health Care
Child CAHPS®: Child Got Care from a Doctor or Other Health Provider Besides Their Personal Doctor
Child CAHPS®: Child Limited or Prevented in Ability to do Things Most Children of Same Age Can Do
Child CAHPS®: Child Needs/Gets Special Therapy (e.g., Physical, Occupational, or Speech)
Child CAHPS®: Child Needs/Uses More Health Care than Usual for Children of Same Age
Child CAHPS®: Child Needs/Uses Prescribed Medicine Due Health Condition
Child CAHPS®: Child has Emotional, Developmental, or Behavioral Problem for which they Need/Get Treatment or Counseling
Child CAHPS®: Child's Health Plan, Doctor's Office, or Clinic Helped Get Prescription Medicines for Child
Child CAHPS®: Child's Health Plan, Doctor's Office, or Clinic Helped Get Special Medical Equipment or Devices for Child
Child CAHPS®: Child's Health Plan, Doctor's Office, or Clinic Helped Get Special Therapy for Child
Child CAHPS®: Child's Health Plan, Doctor's Office, or Clinic Helped Get Treatment or Counseling for Child
Child CAHPS®: Child's Personal Doctor Understands How Health Conditions Affect Child's Day-to-Day Life
Child CAHPS®: Child's Personal Doctor Understands How Health Conditions Affect Child's Family's Day-to-Day Life
Child CAHPS®: Customer Service Provided Information or Help: Usually or Always
Child CAHPS®: Customer Service Treated Caregiver with Courtesy and Respect: Usually or Always
Child CAHPS®: Days to Get Appointment For Check-up or Routine Care
A. Same Day
B. 1 Day
C. 2 to 3 Days
D. 4 to 7 Days
E. 8 to 14 Days
F. 15 to 30 Days
G. More than 30 Days
Child CAHPS®: Days to Get Appointment When Care Needed Right Away
A. Same Day
B. 1 Day
C. 2 - 3 Days
D. 4 - 7 Days
E. More than 7 Days
Child CAHPS®: Doctor/Other Health Provider Talked About What Caregiver Thought was Best for Child When Discussing Medicine
Child CAHPS®: Doctor/Other Health Provider Talked With Caregiver About Reasons Caregiver Might Want Child to Take Medicine
Child CAHPS®: Doctor/Other Health Provider Talked with Caregiver About Reasons Caregiver Might Not Want Child to Take Medicine
Child CAHPS®: Doctor/Other Health Provider Talked with Caregiver about Specific Things Caregiver Could do to Prevent Illness for Child
Child CAHPS®: Ease In Getting Care, Tests, and Treatment- Usually or Always
Child CAHPS®: Ease in Getting Prescription Medicines for Child - Usually or Always
Child CAHPS®: Ease in Getting Special Medical Equipment or Devices for their Child - Usually or Always
Child CAHPS®: Ease in Getting Special Therapy for their Child - Usually or Always
Child CAHPS®: Ease in Getting Treatment or Counseling for their Child - Usually or Always
Child CAHPS®: Getting Appointment to See Specialist as Soon as Needed: Usually or Always
Child CAHPS®: Getting Needed Care Right Away - Usually or Always
Child CAHPS®: Getting Needed Care from a Doctor's Office or Clinic During Evenings, Weekends, or Holidays - Usually or Always
Child CAHPS®: Getting Questions Answered by Child's Doctors or Other Health Providers - Usually or Always
Child CAHPS®: Getting Routine or Check-up Appointments as Soon as They Were Needed: Usually or Always
Child CAHPS®: Got Help Needed From Child's Doctors or Other Health Providers to Contact Child's School or Daycare
Child CAHPS®: Member Rating of Overall Health - Very Good or Excellent
Child CAHPS®: Member Rating of Overall Mental or Emotional Health - Very Good or Excellent
Child CAHPS®: Needed Child's Doctors or Other Health Providers to Contact Child's School or Daycare
Child CAHPS®: Number of Specialists Seen
A. None
B. One
C. Two
D. Three
E. Four
F. Five or More Specialists
Child CAHPS®: Number of Visits to Personal Doctor
A. None
B. One
C. Two
D. Three
E. Four
F. Five to Nine
G. Ten or More
Child CAHPS®: Personal Doctor Explained Things in a Way That Was Easy for Child to Understand: Usually or Always
Child CAHPS®: Personal Doctor Explained Things in a Way That Was Easy to Understand: Usually or Always
Child CAHPS®: Personal Doctor Listened Carefully: Usually or Always
Child CAHPS®: Personal Doctor Showed Respect: Usually or Always
Child CAHPS®: Personal Doctor Spent Enough time with Child: Usually or Always
Child CAHPS®: Personal Doctor Talked with Caregiver about How Child is Feeling, Growing, or Behaving
Child CAHPS®: Personal Doctor Up-to-Date about Child's Care from other Doctors or Health Providers: Usually or Always
Child CAHPS®: Rating of Health Care - 8, 9 or 10
Child CAHPS®: Rating of Health Plan: 8, 9, or 10
Child CAHPS®: Rating of Personal Doctor - 8, 9 or 10
Child CAHPS®: Rating of Specialist Seen Most Often - 8, 9 or 10
Childhood Immunization Status (CIS): Combination 10
Childhood Immunization Status (CIS): Combination 2
Childhood Immunization Status (CIS): Combination 3
Childhood Immunization Status (CIS): Combination 4
Childhood Immunization Status (CIS): Combination 5
Childhood Immunization Status (CIS): Combination 6
Childhood Immunization Status (CIS): Combination 7
Childhood Immunization Status (CIS): Combination 8
Childhood Immunization Status (CIS): Combination 9
Children and Adolescents' Access to Primary Care Practitioners (CAP): A. Age 12-24 Months
Children and Adolescents' Access to Primary Care Practitioners (CAP): B. Age 25 Months - 6 Years
Children and Adolescents' Access to Primary Care Practitioners (CAP): C. Age 7-11 Years
Children and Adolescents' Access to Primary Care Practitioners (CAP): D. Age 12-19 Years
Chlamydia Screening in Women (CHL)
A. Age 16-20 Years
B. Age 21-24 Years
Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate per 100,000 Enrollee Months (PQI05, CMS Adult Core Set)
A. Age 40-64 Years
B. Age 65 and Older
Community Hospital Discharges for Mental Health-Related Conditions - Follow-up Visit within 30 Days of Discharge
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Prim
Medicare Prim
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Pr
Medicare Pr
Other Prima
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Community Hospital Discharges for Mental Health-Related Conditions - Follow-up Visit within 7 Days of Discharge
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Prima
Medicare Prima
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Pri
Medicare Pri
Other Primar
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Community Hospital Readmissions for Mental Health-Related Conditions within 180 Days of Discharge
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Community Hospital Readmissions for Mental Health-Related Conditions within 30 Days of Discharge
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Community Hospital or APRT Readmissions for Mental Health Conditions at 180 Days
Community Hospital or APRT Readmissions for Mental Health Conditions at 180 days: Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Community Hospital or APRT Readmissions for Mental Health Conditions at 180 days: Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Community Hospital or APRT Readmissions for Mental Health Conditions at 180 days: Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Community Hospital or APRT Readmissions for Mental Health Conditions at 30 Days
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Comprehensive Diabetes Care (CDC): Blood Pressure Control (<140/90 mm Hg)
Comprehensive Diabetes Care (CDC): Eye Exam
Comprehensive Diabetes Care (CDC): HbA1c Control (<8.0%)
Comprehensive Diabetes Care (CDC): HbA1c Poor Control (>9.0%)
Comprehensive Diabetes Care (CDC): HbA1c Testing
Comprehensive Diabetes Care (CDC): Medical Attention for Nephropathy
Comprehensive Diabetes Care (CDC, Hybrid Specification): Blood Pressure Controlled <140/90 mm Hg
Comprehensive Diabetes Care (CDC, Hybrid Specification): Medical Attention for Nephropathy
Comprehensive Diabetes Care: People with Serious Mental Illness - HA1c Testing Poor Control (>9%) (HPCMI, CMS Adult Core Set)
A. Age 18-64 Years
B. Age 65-75 Years
Concurrent Use of Opioids and Benzodiazepines (CUOB, CMS Adult Core Set)
A. Age 18 to 64 Years
B. Age 65 and Older
Continuity of Pharmacotherapy for Opioid Use Disorder
Contraceptive Care – All Women (CCW, CMS Adult and Child Core Set) - Most Effective or Moderately Effective Contraception
A. Age 15 to 20 Years
B. Age 21 to 44 Years
Contraceptive Care – All Women (CCW, CMS Adult and Child Core Set): Long-Acting Reversible Method of Contraception (LARC)
A. Age 15 to 20 Years
B. Age 21 to 44 Year
Contraceptive Care – Postpartum Women: Long-Acting Reversible Method of Contraception (LARC) – 3 days (CCP, CMS Adult and Child Core Sets)
A. Age 15–20
B. Age 21–44
Contraceptive Care – Postpartum Women: Long-Acting Reversible Method of Contraception (LARC) – 60 days (CCP, CMS Adult and Child Core Sets)
A. Age 15–20
B. Age 21–44
Contraceptive Care – Postpartum Women: Most or Moderately Effective Contraception – 3 Days by Age Group (CCP, CMS Adult and Child Core Sets)
A. Age 15–20
B. Age 21–44
Contraceptive Care – Postpartum Women: Most or Moderately Effective Contraception – 60 days by Age Group (CCP, CMS Adult and Child Core Sets)
A. Age 15–20
B. Age 21–44
Controlling High Blood Pressure (CBP)
Developmental Screening in the First Three Years of Life (DEV, CMS Child Core Set)
A. Children who turned 1 year of age
B. Children who turned 2 years of age
C. Children who turned 3 years of age
Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD)
Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)
Diabetes Short-Term Complications Admission Rate per 100,000 Enrollee Months (PQI01,CMS Adult Core Set)
A. Age 18-64 Years
B. Age 65 and Older
ED Visits for Mental Health Preceded by NH Hospital Stay in Past 30 Days
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Emergency Department Visits - Medical Health Conditions
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Medical Health Conditions: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Medical Health Conditions: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Medical Health Conditions: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Medical Health Conditions: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Medical Health Conditions: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Medical Health Conditions: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Medical Health Conditions: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Medical Health Conditions: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Medical Health Conditions: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Medical Health Conditions: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Medical Health Conditions: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Medical Health Conditions: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Medical Health Conditions: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Medical Health Conditions: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Medical Health Conditions: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Medical Health Conditions: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Medical Health Conditions: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Medical Health Conditions: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Medical Health Conditions: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Medical Health Conditions: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Medical Health Conditions: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Emergency Department Visits - Mental Health Conditions
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Mental Health Conditions: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Mental Health Conditions: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Mental Health Conditions: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Mental Health Conditions: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Mental Health Conditions: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Mental Health Conditions: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Mental Health Conditions: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Mental Health Conditions: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Mental Health Conditions: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Mental Health Conditions: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Mental Health Conditions: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Mental Health Conditions: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Mental Health Conditions: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Mental Health Conditions: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Mental Health Conditions: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Mental Health Conditions: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Mental Health Conditions: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Mental Health Conditions: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Mental Health Conditions: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Mental Health Conditions: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Mental Health Conditions: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Emergency Department Visits - Potentially Treatable in Primary Care
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Potentially Treatable in Primary Care: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Potentially Treatable in Primary Care: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Potentially Treatable in Primary Care: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Potentially Treatable in Primary Care: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Potentially Treatable in Primary Care: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Potentially Treatable in Primary Care: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Potentially Treatable in Primary Care: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Potentially Treatable in Primary Care: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits - Substance Use Disorder and Substance Misuse Related Conditions: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Emergency Department Visits for Any Condition
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits for Any Condition: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits for Any Condition: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits for Any Condition: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits for Any Condition: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits for Any Condition: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits for Any Condition: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits for Any Condition: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits for Any Condition: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits for Any Condition: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits for Any Condition: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits for Any Condition: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits for Any Condition: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits for Any Condition: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits for Any Condition: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits for Any Condition: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits for Any Condition: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits for Any Condition: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits for Any Condition: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Emergency Department Visits for Any Condition: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Emergency Department Visits for Any Condition: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Emergency Department Visits for Any Condition: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Engagement of Alcohol Abuse or Dependence Treatment (IET)
A. Age 13-17 Years
B. Age 18+ Years
Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
A. Age 13-17 Years
B. Age 18+ Years
Engagement of Alcohol and Other Drug Dependence Treatment (IET) by Subpopulation
Adults
All Other Adults
Not Receiving Waiver, CMHC, Or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, Or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, Or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Engagement of Opioid Abuse or Dependence Treatment (IET)
A. Age 13-17 Years
B. Age 18+ Years
Engagement of Other Drug Abuse or Dependence Treatment (IET)
A. Age 13-17 Years
B. Age 18+ Years
Family and Friends Program NEMT Rides
Follow Up Care for Children Prescribed ADHD Medication (ADD) by Subpopulation-Continuation Phase
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Follow Up Care for Children Prescribed ADHD Medication (ADD) by Subpopulation-Initiation Phase
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Follow-Up After Hospitalization for Mental Illness (FUH) Within 07 Days
Follow-Up After Hospitalization for Mental Illness (FUH) within 07 Days by Age
A. 6 - 17 Years
B. 18 - 64 Years
C. 65 Years and Older
Follow-Up After Hospitalization for Mental Illness (FUH) within 30 Days
Follow-Up After Hospitalization for Mental Illness (FUH) within 30 Days by Age
A. 6 - 17 Years
B. 18 - 64 Years
C. 65 Years and Older
Follow-Up Care for Children Prescribed ADHD Medication (ADD): Continuation and Maintenance Phase
Follow-Up Care for Children Prescribed ADHD Medication (ADD): Initiation Phase
Follow-Up after High-Intensity Care for Substance Use Disorder (FUI) within 07 Days
A. 13-17 Years
B. 18-64 Years
C. 65 Years and Older
Follow-Up after High-Intensity Care for Substance Use Disorder (FUI) within 30 Days
A. 13-17 Years
B. 18-64 Years
C. 65 Years and Older
Follow-up After Emergency Department Visit for Alcohol and Other Drug Dependence (FUA) Within 07 days
A. Age 13 to 17 Years.
B. Age 18+ Years
Follow-up After Emergency Department Visit for Alcohol and Other Drug Dependence (FUA) within 30 days
A. Age 13 - 17 Years
B. Age 18+ Years
Follow-up After Emergency Department Visit for Mental Illness (FUM) Within 07 days
Follow-up After Emergency Department Visit for Mental Illness (FUM) Within 07 days
Follow-up After Emergency Department Visit for Mental Illness (FUM) Within 30 days
Follow-up After Emergency Department Visit for Mental Illness (FUM) Within 30 days
Follow-up After Emergency Department Visit for Mental Illness (FUM) Within 30 days by Age
A. 6 - 17 Years
B. 18 - 64 Years
C. 65 Years and Older
Follow-up After Emergency Department Visit for Mental Illness (FUM) Within 7 days by Age
A. 6 - 17 Years
B. 18 - 64 Years
C. 65 Years and Older
Frequency of Ongoing Prenatal Care (FPC, Hybrid Specification): 81+ Percent
Frequent Emergency Department Use
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Frequent Emergency Department Use: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Frequent Emergency Department Use: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Frequent Emergency Department Use: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Frequent Emergency Department Use: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Frequent Emergency Department Use: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Frequent Emergency Department Use: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Frequent Emergency Department Use: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Frequent Emergency Department Use: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Frequent Emergency Department Use: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Frequent Emergency Department Use: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Frequent Emergency Department Use: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Frequent Emergency Department Use: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Frequent Emergency Department Use: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Frequent Emergency Department Use: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Frequent Emergency Department Use: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Frequent Emergency Department Use: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Frequent Emergency Department Use: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Frequent Emergency Department Use: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Frequent Emergency Department Use: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Frequent Emergency Department Use: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Frequent Emergency Department Use: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Grievance Dispositions Made Within 45 Calendar Days
Heart Failure Admission Rate per 100,000 Enrollee Months (PQI08, CMS Adult Core Set)
A. Age 18-64 Years
B. Age 65 and Older
Human Papillomavirus Vaccine for Adolescents (HPV)
Immunizations for Adolescents (IMA): Combination 1
Immunizations for Adolescents (IMA): Combination 2
Immunizations for Adolescents (IMA): Meningococcal Vaccine
Immunizations for Adolescents (IMA): Tdap/Td Vaccine
Initiation of Alcohol Abuse or Dependence Treatment (IET)
A. Age 13-17 Years
B. Age 18+ Years
Initiation of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
A. Age 13-17 Years
B. Age 18+ Years
Initiation of Alcohol and Other Drug Dependence Treatment (IET) by Subpopulation
Adults
Special Needs Adult
Not Receiving Waiver, CMHC, Or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Initiation of Alcohol and Other Drug Dependence Treatment (IET) by Subpopulation: Children
Initiation of Alcohol and Other Drug Dependence Treatment (IET) by Subpopulation: Adults: All Other Adults: Not Receiving Waiver, CMHC, Or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Initiation of Alcohol and Other Drug Dependence Treatment (IET) by Subpopulation: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Initiation of Alcohol and Other Drug Dependence Treatment (IET) by Subpopulation: Adults: All Other Adults: Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, Or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services (Waiver or Nursing Home)
Medicaid Primary
Medicare Primary
Other Primary
Initiation of Opioid Abuse or Dependence Treatment (IET)
A. Age 13-17 Years
B. Age 18+ Years
Initiation of Other Drug Abuse or Dependence Treatment (IET)
A. Age 13-17 Years
B. Age 18+ Years
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Inpatient Hospital Utilization - All Conditions, Excluding Maternity and Newborns: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Inpatient Hospital Utilization - Ambulatory Care Sensitive Conditions
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Interest Paid on Late Paid Claims
Lead Screening
MCO Contacts and Contact Attempts Following ED Discharges for SUD
Age 0 To 17 Years
Age 18 Years Or Older
Medical Assistance with Smoking and Tobacco Use Cessation: Advising Smokers and Tobacco Users to Quit (MSC, CMS Adult Core Set)
A. Age 18-64 Years
Medical Assistance with Smoking and Tobacco Use Cessation: Discussing Cessation Medications (MSC, CMS Adult Core Set)
A. Age 18-64 Years
Medical Assistance with Smoking and Tobacco Use Cessation: Discussing Cessation Strategies (MSC, CMS Adult Core Set)
A. Age 18-64 Years
Medical Service, Equipment and Supply Post-Delivery Service Authorization Timely Determination Rate
Medical Service, Equipment and Supply Service Authorization Timely Determination Rate: New Routine Requests
Medical Service, Equipment and Supply Service Authorization Timely Determination Rate: Urgent Requests
Medication Management for People With Asthma (MMA): Medication Compliance 50%
A. Age 5 to 11 Years
B. Age 12 to 18 Years
C. Age 19 to 50 Years
D. Age 51 to 64 Years
Medication Management for People With Asthma (MMA): Medication Compliance 75%
A. Age 5 to 11 Years
B. Age 12 to 18 Years
C. Age 19 to 50 Years
D. Age 51 to 64 Years
Member Access to SUD Services following SUD Assessment and Diagnosis
Age 0 to 17 Years
Comprehensive SUD Provider
Non-Comprehensive SUD Provider
Age 18 Years or Older
Comprehensive SUD Provider
Non-Comprehensive SUD Provider
Member Appeals Received
Member Cancellations of Scheduled NEMT Trips by Reason for Member Cancellation
A. Member Cancelled at Door
B. Member Appointment Changed or Cancelled
C. Member Cancelled No Reason Given
D. Member Found Other Transportation
E. Member Illness
F. Other Reason
Member Communications: Calls Abandoned
A. Main Health Plan
B. Pharmacy Benefit Manager (PBM)
C. Non-Emergent Medical Transportation (NEMT) Manager
D. Behavioral Health Manager
E. Vision Manager
Member Communications: Speed to Answer Within 30 Seconds
A. Main Health Plan
B. Pharmacy Benefit Manager (PBM)
C. Non-Emergent MedicalTransportation (NEMT) Manager
D. Behavioral Health Manager
E. Vision Manager
Member Communications: Behavioral Health Crisis Calls
A. Children
1. Referral to Care
2. No Referral to Care
B. Adults
1. Referral to Care
2. No Referral to Care
Member Communications: Calls Returned by the Next Business Day
Member Communications: Reasons for Telephone Inquiries
A. Benefit Question Non-RX
B. Rx-Question
C. Billing Issue
D. Finding / Changing a PCP
E. Finding a Specialist
F. Complaints About Health Plan
G. Enrollment Status
H. Material Request
I. Information / Demographic Update
J. Giveaways
K. Other
L. NEMT Inquiry
Member Grievances Received
Member Non-Emergent Medical Transportation Grievance Dispositions Resolved Within 30 Calendar Days
Member Non-Emergent Medical Transportation Grievances
Member Retention in SUD Treatment
Age 0 to 17 Years
Alcohol Use Disorder
Opioid Use Disorder
Other Drug Use Disorder
Stimulant Use Disorder
Age 18 Years or Older
Alcohol Use Disorder
Opioid Use Disorder
Other Drug Use Disorder
Stimulant Use Disorder
Members Enrolled in Care Management: Non-Local Care Management
Members Identified as High-Risk/High-Need Receiving Care Management
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) - Blood Glucose Testing
Metabolic Monitoring for Adolescents on Antipsychotics (APM) - Blood Glucose Testing: B. Age 12-17 Years
A. Age 1-11 Years
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) - Blood Glucose and Cholesterol Testing
A. Age 1-11 Years
B. Age 12-17 Years
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) - Cholesterol Testing
A. Age 1-11 Years
B. Age 12-17 Years
NEMT Request Authorization Approvals by Mode of Transportation
A. Contracted Transportation Provider (Non-Wheelchair Van)
B. Volunteer Driver
C. Member
D. Public Transportation
E. Wheelchair Van
F. Other
NEMT Requests Delivered by Mode of Transportation
A. Contracted Transportation Provider (Non-Wheelchair Van)
B. Volunteer Driver
C. Member
D. Public Transportation
E. Wheelchair Van
F. Other
NEMT Requests Delivered by Type of Medical Service
A. Hospital
B. Medical Provider
C. Mental Health Provider
D. Dentist
E. Pharmacy
F. Methadone Treatment
G. Other
NH Hospital Discharges - Discharge Plan Provided to Aftercare Provider within 7 Calendar Days of Member Discharge
NH Hospital Discharges - Follow-up Visit within 30 Days of Discharge
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
NH Hospital Discharges - Follow-up Visit within 7 Days of Discharge
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
NH Hospital Discharges - MCO Contacts and Contact Attempts
NH Hospital Discharges - Member Received Discharge Instruction Sheet
NH Hospital Discharges - New CMHC Patient Had Intake Appointment with CMHC within 7 Calendar Days of Discharge
Neonatal Abstinence Syndrome Engagement in Care Management
Neonatal Abstinence Syndrome Referrals to Care Management
New Member Health Needs Assessment - MCO Successfully Completed HNA
A. Within 30 Days for Pregnant Women, and Adults/Children with Special Health Care Needs
B. Within 90 Days for All Other Members
New Member Health Needs Assessment – Best Effort to Conduct a Health Needs Assessment
A. Within 30 Days for Pregnant Women, and Adults/Children with Special Health Care Needs
B. Within 90 Days for All Other Members
New Member Successfully Completed MCO's Health Risk Assessment Screening
Non-Emergent Medical Transportation Calls That Were Abandoned
Non-Emergent Medical Transportation Claims Quality Assurance: Claims Processing Accuracy
Non-Emergent Medical Transportation Hold Status of Less Than 4 Minutes
Non-Emergent Medical Transportation Scheduled Trips Assigned Within the Advanced Notice Period
Non-Emergent Medical Transportation Speed to Answer Within 90 Seconds
Non-Emergent Medical Transportation Timely Claims Processing
Non-Emergent Medical Transportation Voice Mails Returned by Next Business Day
Non-Recommended Cervical Cancer Screening in Adolescent Females (NCS)
Persistence of Beta-Blocker Treatment After a Heart Attack (PBH)
Pharmacotherapy Management of COPD Exacerbation (PCE) by Subpopulation: Bronchodilator
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Pharmacotherapy Management of COPD Exacerbation (PCE) by Subpopulation: Systemic Corticosteroid
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services But Not Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Pharmacotherapy Management of COPD Exacerbation (PCE): Bronchodilator
Pharmacotherapy Management of COPD Exacerbation (PCE): Systemic Corticosteroid
Pharmacotherapy for Opioid Use Disorder
Pharmacotherapy for Opioid Use Disorder (POD): A. Age 16-64 Years
Pharmacotherapy for Opioid Use Disorder (POD): B. Age 65 and Older
Pharmacy Service Authorization Timely Determination Rate
Pharmacy Utilization Management: Generic Drug Substitution
Pharmacy Utilization Management: Generic Drug Utilization
Pharmacy Utilization Management: Generic Drug Utilization Adjusted for Preferred PDL Brands
Physician/APRN/Clinic Visits
Adults
All Other Adults
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Physician/APRN/Clinic Visits: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Physician/APRN/Clinic Visits: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Physician/APRN/Clinic Visits: Adults: All Other Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Special Needs Adult
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Physician/APRN/Clinic Visits: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Physician/APRN/Clinic Visits: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Physician/APRN/Clinic Visits: Adults: Special Needs Adult: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Children
Children With Severe Disabilities (HC-CSD, SSI, SMS)
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Physician/APRN/Clinic Visits: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Physician/APRN/Clinic Visits: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Physician/APRN/Clinic Visits: Children: Children With Severe Disabilities (HC-CSD, SSI, SMS): Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
DCYF Involved Child
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Physician/APRN/Clinic Visits: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Physician/APRN/Clinic Visits: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Physician/APRN/Clinic Visits: Children: DCYF Involved Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Physician/APRN/Clinic Visits: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Physician/APRN/Clinic Visits: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Physician/APRN/Clinic Visits: Children: Other Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Other Special Needs Child
Not Receiving Waiver, CMHC, or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Physician/APRN/Clinic Visits: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Physician/APRN/Clinic Visits: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Physician/APRN/Clinic Visits: Children: Other Special Needs Child: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Older Adults
All Older Adults
Not Receiving Waiver, CMHC or Nursing Home Services
Medicaid Primary
Medicare Primary
Other Primary
Receiving CMHC Services but not Waiver or Nursing Home
Physician/APRN/Clinic Visits: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicaid Primary
Physician/APRN/Clinic Visits: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Medicare Primary
Physician/APRN/Clinic Visits: Older Adults: All Older Adults: Receiving CMHC Services But Not Waiver or Nursing Home: Other Primary
Receiving LTC Services-Waiver or Nursing Home
Medicaid Primary
Medicare Primary
Other Primary
Polypharmacy Monitoring: Adults with 5 or More Prescriptions for 60 Consecutive Days
A. Age 18-44 Years
B. Age 45-64 Years
Polypharmacy Monitoring: Children with 4 or More Prescriptions for 60 Consecutive Days
A. Age 0-5 Years
B. Age 6-17 Years
Prenatal and Postpartum Care (PPC): Postpartum Care
Prenatal and Postpartum Care (PPC): Timeliness of Prenatal Care
Private Duty Nursing: Authorized Hours for Adults Delivered and Billed by Quarter
