GenIC #26 FFY 2014 Medicaid Adult Quality Measures Template Crosswalk

Reason for Change

Type of Change
(Rev, New)

FFY 2014 (new
version)

FFY 2013 (old
version)

All changes to the template fall into 3 primary buckets: To align with the current measure steward technical specifications, to reflect annual updates to the Core Set as per S
1139B of the Affordable Care Act, and/or to facilitate improvements in reporting by states through clarified information/instructions and result in improved analysis of data
These changes have been categorized into substantive and non-substantive changes:

Substantive Changes:
Throughout the document
Rev

initial Core Set

HIV Viral Load Suppression

The Medicaid Adult Core Set now reflects the
first set of annual updates to the Core Set as
per Section 1139B of the Affordable Care
Act, so it is no longer initial (one measure
References to the Annual HIV/AIDS Medicaid
Visit measure have been deleted as this
measure was retired from the Core Set in
January 2014. HIV Viral Load Suppression

The Affordable Care Act also required the New
Secretary to publish annual changes to the
Medicaid Adult Core Set measures
beginning in January 2014. One measure

To provid information on the changes to the
2014 Core Set.

Core Set
Rev

Annual HIV/AIDS Medicaid Visit
Background

Table 1.
Updates to the Measure Column

Rev

All changes to the measure names reflect
changes specified by the measure steward
for each measure. [these changes are also
reflected on the measure-specific pages]

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Updates to the Measure Description
Column

Rev

All changes to the measure description
reflect changes specified by the measure
steward for each measure. [these changes
are also reflected on the measure-specific

Guidance for Reporting
(Under the hybrid option of the 'Data
New
Source' question) If this box is selected, the
user must then indicate whether the
administrative data for a measure are
For the question, “Did you Combine Rates New
from Multiple Reporting Units (e.g., health
plans, delivery systems, programs) to
Create a State-Level Rate?, ” states should
Maternal and Infant Health Initiative
New
Measures:
To determine baseline and assess progress
towards the CMS Maternal and Infant

CMS has added two sub-questions to better
understand the sources of both the
administrative data and the medical records
data that comprise this data source. These
Added instruction about a new question
added to the template in which states are
asked to indicate whether state-level rates
were calculated based on rates for multiple
As the Medicaid Adult Quality Measures
Template in CARTS will serve as the vehicle
states will use to report data on two
performance measures as part of the

Updates to the Measure Names

Rev

[removed]

Rev

Under Data Source, CMS has remove
sources that are not applicable for each
measure

Rev

All changes to the measure names reflect
changes to the name as specified by the
measure steward for each measure. [these
changes are also reflected on the measureThis response option has been removed due
to stakeholder feedback. This response
option was also not widely used during the
first year of the reporting the Medicaid Adult
This change was made so reporting would be
more streamlined for states.

Measure-Specific Pages

(Under the ‘If Data Not Reported, Please
Explain Why’ field) “Not identified as a key
priority area for this year”

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

(Under the hybrid option of the 'Data
New
Source' question) From where is the
Administrative Data coming?
Must select one or more:
Updates to the Performance Measure field Rev

Did you Combine Rates from Multiple
New
Reporting Units (e.g., health plans, delivery
systems, programs) to Create a State-Level
Rate?
Rev

Annual HIV/AIDS Medicaid Visit

HIV Viral Load Suppression
(Postpartum Care Measure) The
New
information for this measure is being
provided as part of the Improving Maternal
and Infant Health Outcomes in Medicaid
New
Maternal and Infant Health Initiative
Developmental Measure: Contraceptive
Effectiveness measure

Non-Substantive Changes
Table 1.

Measure Abbreviations Column

New

CMS added two sub-questions under the
hybrid option to better understand the
sources of both the administrative data and
the medical records data that comprise this
All changes to the text under Performance
Measure (for all measures) reflect changes
to the description as specified by the
measure steward for each measure.
CMS added was added to the Performance
Measure field, in which states are asked to
indicate whether state-level rates were
calculated based on rates for multiple
The Annual HIV/AIDS Medicaid Visit measure
was deleted as this measure was retired
from the Core Set in January 2014. The HIV
Viral Load Suppression measure was added
As per the edit to the ‘Guidance for
Reporting’ section, an additional question
has been added to the Postpartum Care Rate
measure, The information for this measure is
As per the edit to the ‘Guidance for
Reporting’ section, a measure page to
capture reporting on the developmental
measure on contraceptive effectiveness as
Table amended to add measure
abbreviations for each measure, so

Guidance for Reporting
‘Current year’

"performance period specified in the
technical specifications"

Rev
Changed for accuracy

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Rev

"requirements” of the Adult Medicaid
Quality Measures Grant Program

adheres to the technical specifications

HEDIS Version 2013

Since the grant program ends before FFY 14
reporting, grantees are not required to
“as part of” the Adult Medicaid Quality
submit data on the measures in the coming
Measures Grant Program
year, so this language has been modified for
Rev
Edited to that it is clear the Medicaid Adult
Core Set specifications are being referenced
in this section.
adheres to the "Medicaid Adult Core Set" technical specifications
Rev
Revised to reflect the current HEDIS version

HEDIS Version 2014
Rev

Provided additional examples of other types
of administrative data that are included
under this selection, including immunization
Administrative Data: Medical claims and encounter
Administrative
data. Data: Medical claims and encounter data
or other
source
(e.g. immunization
registry
and administrative
vital records, todata
provide
greater
Rev
Revision made for clarity

(Under Date Range) ‘please report’
Indicate the definition of the population
included in the denominator for each
measure by checking one box to indicate
whether the data are for the Medicaid
(Under Does this Denominator Represent
you Total Eligible Population as Defined by
the Technical Specification for this
Measure) States should indicate whether
(Under Which Delivery Systems are
Represented in the Denominator) For each
measure, the state is asked to indicate
which delivery systems are represented in

define’
Indicate the definition of the population
Rev
included in the denominator for each
measure by checking all boxes that apply to
indicate whether the data are for the
States should indicate whether the
Rev
denominator selected in the preceding
question represents your state’s total
eligible population for the measure, as
For each measure, the state is asked to
Rev
indicate which delivery systems are
represented in the denominator, the
percentage of the total state population is

Inserted "all boxes that apply" and deleted
references to "only" to align with the
reporting fields in the measure-specific
template pages to clarify that state users
Inserted 'for the measure' to clarify that this
information is requested specific to each
measure.
Change made to better specify that this
information is requested specific to each
measure. CMS also provided examples to
clarify that we are seeking information about

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

(Under Performance Measure) Report the
numerators, and denominators, rates for
each measure (or component) in this
section. The template provides two
(Under Optional Measure Stratification) If
there are other or additional racial, ethnic,
sex, language, disability status, or
geographic stratifications your state wants
Measure-Specific Pages
measure numbers

FFY 2013

Report the numerators, denominators, and Rev
rates for each measure (or component) in
this section. The template provides two
sections for entering the data, depending
If there are other or additional racial,
Rev
ethnic, sex, language, disability status, or
geographic stratifications your state wants
to report that are not specified in the form

Added a sentence to the end of the section
to specify that some measures require the
reporting of multiple rates. Also made some
minor text corrections in the paragraph.
Inserted a sentence to provide an additional
example of the type of information that
states should upload to the CARTS
attachment facility for this section of the

abbreviations

Rev

FFY 2014

Rev

Measure abbreviations replace measures
numbers so measures can be referenced
shorthand and because the measure
numbers may change each year with annual
Updated the fiscal year for which the
template applies.

Rev
"requirements” of the Adult Medicaid
Quality Measures Grant Program
Which delivery systems are represented in
the denominator?
Select all that apply (Must select at least
one):
(Under Optional Measure Stratification) If
there are other or additional racial, ethnic,
sex, language, disability status, or
geographic stratifications your state wants

“as part of” the Adult Medicaid Quality
Measures Grant Program
Which delivery systems are represented in Rev
the denominator?
Select all delivery systems that apply in
your state (Must select at least one); for
If there are other or additional racial,
Rev
ethnic, sex, language, disability status, or
geographic stratifications your state wants
to report that are not specified in the form

Since the grant program ends before FFY 14
reporting, grantees are not required to
submit data on the measures in the coming
year, so this language has been modified for
As per the edit to the guidance for reporting,
change made to better specify that this
information is requested specific to each
measure. CMS also provided examples to
Inserted a sentence to provide an additional
example of the type of information that
states should upload to the CARTS
attachment facility for this section of the

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Burden Change

e Core Set as per Section
d analysis of data by CMS.

No

No

No

No

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

No

No

No

No

No

No

No

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Yes. Minor impact.
While this option now
includes two subquestions, CMS also
No

Yes. Minor impact.
This is a new question
in the template, but
as it's a Y/N question,
No.

Yes. Minor impact.
This is a new question
in the template, but
as it's only a Y/N
Yes. While a new
measure has been
added to the
template, it is only

No

No

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

No

No

No

No

No

No

No

No

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

No

No

No

No

No

No

No

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesgnation.