Number of emergency department visits for caries-related reasons per 100,000 member months for all enrolled children
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.20 Testing Data Sources
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1.14 Numerator
Number of ED visits with caries-related diagnosis code among all enrolled children
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1.15 Denominator
All member months for enrollees 0 through 20 years during the reporting year divided by 100,000.
NOTES:
1. Age range is 0 through 20 years (<21 years) to coincide with Medicaid Early and Periodic Screening, Diagnostic, and Treatment eligibility. (http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Early-and-Periodic-Screening-Diagnostic-and-Treatment.html).
2. 100,000 member months of enrollment was selected instead of a per population approach due to enrollment variation. This is consistent with the approach that the Centers for Medicare and Medicaid Services has taken for the Medicaid Adult Health Care Quality measures of potentially preventable hospitalizations, which measures rates per 100,000 member months (http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Adult-Health-Care-Quality-Measures.html)
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Exclusions
The following standard exclusion is applied: Medicaid programs should exclude children who do not qualify for EPSDT benefits.
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OLD 1.12 MAT output not attachedAttached
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Most Recent Endorsement ActivityEndorsed Health and Well Being Endorsement Maintenance Project 2014Initial EndorsementLast Updated
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StewardAmerican Dental AssociationSteward Organization POC EmailSteward Organization Copyright
2015 American Dental Association on behalf of the Dental Quality Alliance (DQA)©. All rights reserved. Use by individuals or other entities for purposes consistent with the DQA’s mission and that is not for commercial or other direct revenue generating purposes is permitted without charge.
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Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
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