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Valid for Measure Submission

Continuity of Care After Inpatient or Residential Treatment for Substance Use Disorder

The Continuity of Care After Inpatient or Residential Treatment for Substance Use Disorder measure evaluates the percentage of discharges from inpatient or residential treatment for diagnoses of substance use disorders (SUD) among Medicaid or Medicare-Medicaid beneficiaries, aged 18 years and older, which were followed by a treatment service for SUD.

CBE ID
3453

Home and Community-Based Services (HCBS) Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Measures

The Home and Community-Based Services (HCBS) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey consists of 19 measures that assess the experiences of Medicaid participants’ age 18 and older receiving long-term services and supports (LTSS). The measures report a case-mix adjusted top-box score. Measure scores are calculated based on participant responses to a cross-disability survey about their experiences with the LTSS they receive in the community, delivered through a Medicaid-funded HCBS program.

CBE ID
2967

Hospitalizations for Ambulatory Care Sensitive Conditions among Home and Community Based Service (HCBS) Participants

The Hospitalizations for Ambulatory Care Sensitive Conditions among Home and Community Based Participants measure is a risk-adjusted, state-level measure that assesses rates of hospital admissions for ambulatory care sensitive conditions per 1,000 Medicaid HCBS participants aged 18 years and older. This measure has three rates reported for potentially avoidable inpatient hospital admissions:

  1. Chronic Conditions
  2. Acute Conditions
  3. Chronic and Acute Conditions Composite
CBE ID
4490

RTCOM Composite Measure for Home- and Community-Based Services (HCBS) Recipients - Social Connectedness

This outcome measure assesses an individual's level of social inclusion and to what degree they are connected to others in their community. The target population for this measure is adults with disabilities who receive HCBS or HCBS-like services. This is a self-contained measure that can be administered independently of other RTCOM measures. 

The measure is administered through an in-person or video-conferencing interview where an interviewer guides an individual through a series of questions (i.e., items) on the measure. There are 14 items on this measure:

CBE ID
5125

RTCOM Instrument for Home- and Community-Based Services (HCBS) Recipients - Employment

This instrument assesses an individual’s experiences in paid employment as well as their experiences searching for paid employment. The target population for this instrument is adults with disabilities who receive HCBS or HCBS-like services. This is a self-contained instrument that can be administered independently of other RTCOM instruments.

CBE ID
5105

RTCOM Outcome Measure for HCBS Recipients [Instrument: Employment] - Job Experiences

This instrument assesses an individual’s experiences in paid employment as well as their experiences searching for paid employment. The target population for this instrument is adults with disabilities who receive HCBS or HCBS-like services. This is a self-contained instrument that can be administered independently of other RTCOM instruments.

CBE ID
5105-2

The percent of contraceptive care patients giving “top box” scores on a PRE-PM focused on quality of contraceptive care (the Person-Centered Contraceptive Counseling [PCCC] measure), within a 6-month lookback period

The measure is a PRE-PM, which calculates the percentage of contraceptive care patients who give a “top box” score for their experience of contraceptive counseling. The measure is a four-question survey which asks patients about key components of patient-centered counseling, including respect and adequate information. A “top box” score is defined as a response which gives the highest score for each of the four questions. Respondents give answers evaluating the quality of contraceptive care they received in the past six months.

CBE ID
4825

Use of Pharmacotherapy for Opioid Use Disorder

The Use of Pharmacotherapy for Opioid Use Disorder measure evaluates the percentage of Medicaid or Medicare-Medicaid participants, aged 18 years and older, who have been diagnosed with an opioid use disorder (OUD) who filled a prescription for, were administered, or dispensed, a Food and Drug Administration (FDA)-approved medication to treat or manage OUD during the measurement year.

CBE ID
3400