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Ambulatory Care Sensitive Emergency Department Visits for Dental Caries in Children

Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
Next Planned Maintenance Review
Fall 2024
1.3 Measure Description

Number of emergency department visits for caries-related reasons per 100,000 member months for all enrolled children

        • 1.5 Measure Type
          1.7 Electronic Clinical Quality Measure (eCQM)
          1.20 Testing Data Sources
        • 1.14 Numerator

          Number of ED visits with caries-related diagnosis code among all enrolled children

        • 1.15 Denominator

          All member months for enrollees 0 through 20 years during the reporting year divided by 100,000.

          1. Age range is 0 through 20 years (<21 years) to coincide with Medicaid Early and Periodic Screening, Diagnostic, and Treatment eligibility. (

          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 (

        • Exclusions

          The following standard exclusion is applied: Medicaid programs should exclude children who do not qualify for EPSDT benefits.

        • OLD 1.12 MAT output not attached
        • Most Recent Endorsement Activity
          Endorsed Health and Well Being Endorsement Maintenance Project 2014
          Initial Endorsement
          Last Updated
        • Steward Organization Email
          Steward 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.

              • Risk adjustment approach
                Risk adjustment approach
                Conceptual model for risk adjustment
                Conceptual model for risk adjustment