Some states reported exclusions from the denominator, as noted in the state-specific comments.
Denominators are assumed to be the measure-eligible population for states using the administrative method.The following state used NCQA 2019 specifications: OR. States used Child Core Set specifications, based on National Committee for Quality Assurance (NCQA) 2020 specifications.Unless otherwise specified, the administrative data source is the state’s Medicaid Management Information System (MMIS) and/or data submitted by managed care plans, including behavioral health plans. The Child Core Set specifications include guidance for calculating this measure using the administrative method. CMS did not include the rates for these states. The following states reported the measure to CMS, but did not use Child Core Set specifications to calculate the measure: VA and WI. The following states did not report data to the Centers for Medicare & Medicaid Services (CMS) for this measure: CO, ID, MT, and PR. The term “states” includes the 50 states, the District of Columbia, and Puerto Rico. For more information on the Ambulatory Care: Emergency Department Visits (AMB-CH) measure, visit Child Health Care Quality Measures. Source: Mathematica analysis of Medicaid and CHIP Program System (MACPro) reports for the Child Core Set Federal Fiscal Year (FFY) 2020 reporting cycle as of June 18, 20 Child and Adult Health Care Quality Measures. Medicaid MAGI & CHIP Application Processing Time.Testing Experience & Functional Tools demonstration.Alternatives to Psychiatric Residential Treatment Facilities Demonstration.Balancing Long Term Services & Supports.Person-Centered Hospital Discharge Model.Vision and Hearing Screening Services for Children and Adolescents.Early and Periodic Screening, Diagnostic, and Treatment.State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services.SUPPORT Act Provider Capacity Demonstration.SUPPORT Act Innovative State Initiatives and Strategies.Medicaid Eligibility & Enrollment Toolkit.Medicaid Enterprise Certification Toolkit.Medicaid Information Technology Architecture.Section 223 Demonstration Program to Improve Community Mental Health Services.Actuarial Report on the Financial Outlook for Medicaid.CMS-64 FFCRA Increased FMAP Expenditure Data.State Budget & Expenditure Reporting for Medicaid and CHIP.Medicaid Eligibility Quality Control Program.Medicaid Third Party Liability & Coordination of Benefits.Seniors & Medicare and Medicaid Enrollees.Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations.1115 Substance Use Disorder Demonstrations.1115 Demonstration Monitoring & Evaluation.Medicaid & CHIP Marketplace Interactions.Performance Indicator Technical Assistance.Medicaid Enrollment Data Collected Through MBES.February 2023 Medicaid & CHIP Enrollment Data Highlights.Home & Community Based Services Authorities.Lawfully Residing Immigrant Children & Pregnant Individuals.Medicaid and CHIP Quality Resource Library.Affordable Care Act Program Integrity Provisions.Medicaid and CHIP Eligibility & Enrollment Webinars.Unwinding and Returning to Regular Operations after COVID-19.Home & Community-Based Services in Public Health Emergencies.Using Section 1115 Demonstrations for Disaster Response.Medicaid Data Collection Tool (MDCT) Portal.Eligibility & Administration SPA Implementation Guides.Health Home Information Resource Center.Promoting Community Integration Through Long-Term Services and Supports.Improving Care for Medicaid Beneficiaries with Complex Care Needs and High Costs.
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