Percentage of discharges from a medically managed withdrawal episode for adult Medicaid beneficiaries, ages 18–64, that were followed by a treatment service for substance use disorder (including the prescription or receipt of a medication to treat a substance use disorder [pharmacotherapy]) within 7 or 14 days after discharge.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
Discharges in the denominator who have an inpatient, intensive outpatient, partial hospitalization, outpatient visit, residential, or drug prescription or procedure within 7 or 14 days after discharge from an inpatient hospital, residential addiction program, or ambulatory medically managed withdrawal.
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1.15 Denominator
Adult Medicaid beneficiary discharges from medically managed withdrawal from January 1 to December 15 of the measurement year.
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Exclusions
Not applicable: the measure does not have denominator exclusions.
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Most Recent Endorsement ActivityEndorsed Behavioral Health and Substance Use Spring Cycle 2022Initial EndorsementLast Updated
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Steward Organization EmailSteward Organization Copyright
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CPT(R) contained in the Measure specifications is copyright 2004-2016 American Medical Association.
ICD-10 copyright 2016 World Health Organization. All Rights Reserved.
The American Hospital Association holds a copyright to the National Uniform Billing Committee (NUBC) codes contained in the measure specifications. The NUBC codes in the specifications are included with the permission of the AHA. The NUBC codes contained in the specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting Measure results or using Measure results for their internal quality improvement purposes. All other uses of the NUBC codes require a license from the AHA. Anyone desiring to use the NUBC codes in a commercial product to generate Measure results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact [email protected].
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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