Number of emergency department visits for caries-related reasons per 100,000 member months for all enrolled children
Measure Specs
General Information
Numerator
Number of ED visits with caries-related diagnosis code among all enrolled children
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)
Exclusions
The following standard exclusion is applied: Medicaid programs should exclude children who do not qualify for EPSDT benefits.
Measure Record
Point of Contact
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